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Case Management Medi-Cal Coordinator - Los Angeles, CA - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Los Angeles, CA Los Angeles, California |
About this job
Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.
If you want to achieve more in your mission of healthcare, you have to be really smart about the business of healthcare. Challenge yourself, your peers, and our industry by shaping what healthcare looks like and doing your life's best work.SM
- Be a successful liaison between the facility and the Dept of Health Services Field Office.
- Must be organized and must be able to meet established deadlines. The successful candidate can work independently as well work as part of a team.
- This position is required to support our current manual TAR process. The process involves data entry into an Excel workbook, med records requests, follow through with the DHS Field Office for TAR status, and preparation/submission of the TARs for adjudication. Although primarily based at California Hospital Med Center, this position will provide support (as assigned) to the TAR process at our sister facilities in the SoCal East region.
- Moderate work experience within own function.
- Some work is completed without established procedures.
Requirements
- High School Diploma/GED.
- Los Angeles Fire Certification Card, or the ability to obtain certification within the first 90 days of employment.
- Ability to travel up to 25% of the time between other hospitals (including Los Angeles, Long Beach, and San Bernadino).
- Previous experience with MCal TARs and TAR process.
- Previous experience in an acute Hospital setting.
- Previous Medi-Cal and HMO Billing experience.
- Previous experience working with Microsoft Office products on a daily basis
- Reliable transportation, a valid Driver's License, Automobile Insurance, as well as willingness to support the TAR process at sister facilities in the region.
- Associate's or Bachelor's Degree
Healthcare isn't just changing.
It's growing more complex every day: ICD-10 Coding replaces ICD-9; Affordable
Care adds new challenges and financial constraints. Where does it all lead?
Hospitals and Healthcare organizations continue to adapt, and we are vital part
of their evolution. And that's what fueled these exciting new
opportunities.
Who are we? Optum360. We're a dynamic
new partnership formed by Dignity Health and Optum to combine our unique
expertise. As part of the growing family of UnitedHealth Group, we'll leverage
our compassion, our talent, our resources and experience to bring financial
clarity and a full suite of Revenue Management services to Healthcare
Providers, nationwide.
If you're looking for a better place to use your
passion, your ideas and your desire to drive change, this is the place to be.
It's an opportunity to do your life's best work.â„
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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