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Recovery Coordinator
5 days ago
Pathways Health and Community Support, LLC. Mojave, CA, United States Full timePathways is seeking an innovative and purpose driven individual to join our team as a · Recovery Coordinator for our program in Mojave. Salary $ hr Full Benefits SUMMARY · Provides outreach, information-referral, care management, and a full array of mental health/rehabilitation ...
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Recovery Coordinator
5 days ago
Pathways Health and Community Support, LLC. Mojave, CA, United States Full timeWelcome to Pathways of Californias career website If you are passionate about helping others and enthusiastic about your future, we want you to join our team Our company is known for an unwavering commitment to exceptional value and recovery-focused, quality care. We are experts ...
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Recovery Coordinator
5 days ago
Pathways Health and Community Support, LLC. Mojave, United StatesDescription · Welcome to Pathways of California's career website If you are passionate about helping others and enthusiastic about your future, we want you to join our team · Our company is known for an unwavering commitment to exceptional value and recovery-focused, quality ca ...
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Site Manager
2 weeks ago
Libertana Lancaster, United StatesJob Description · Job DescriptionJOB DESCRIPTION · Position: PSH Site Manager · Pay Range: $64.480/Year · Reporting To: Director of PSH · Work Type: On-site · Position Summary: · The PSH Site Manager will oversee caregivers and daily schedule on a day-to-day basis and ensure that ...
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Administration and Data Coordinator
6 days ago
Pathways Health and Community Support, LLC. Mojave, CA, United States Full timeProvides outreach, information-referral, care management, and a full array of mental health/rehabilitation services for clients which include counseling, crisis intervention, skill training, and coordinating and monitoring the assessment, treatment planning process and follow-up ...
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Administration and Data Coordinator
6 days ago
Pathways Health and Community Support, LLC. Mojave, CA, United States Full timeWelcome to Pathways of Californias career website If you are passionate about helping others and enthusiastic about your future, we want you to join our team · Our company is known for an unwavering commitment to exceptional value and recovery-focused, quality care. We are expert ...
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Recovery Coordinator
1 week ago
Clarvida Mojave, United States**Welcome to Pathways of California's career website If you are passionate about helping others and enthusiastic about your future, we want you to join our team** · Our company is known for an unwavering commitment to exceptional value and recovery-focused, quality care. We are e ...
Medi-Cal Biller - California City, United States - Beloved Ones
Description
Job Description
Job DescriptionWe are searching for a diligent Medi-Cal Claim Follow-Up Specialist to ensure the timely and accurate collection of medical claims. The specialist will work closely with counties to rectify payment denials and receive due reimbursements. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims. Familiarity with mental health diagnosis and DSM-V Codes highly desirable.
Responsibilities
1. Review and work on unpaid claims, identifying and rectifying billing issues.
2. Communicate with counties regarding any discrepancy in payments if necessary.
3. Research and appeal denied claims.
4. Review Explanation of Benefits (EOBs) to determine denials or partial payment reasons.
5. Provide detailed notes on actions taken and next steps for unpaid claims.
6. Collaborate with the billing team to ensure accurate claim submission.
7. Maintain a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements.
8. Resubmit claims with necessary corrections or supporting documentation when needed.
9. Track and document trends related to denials and work towards a resolution with the billing team.
Qualifications
1. High school diploma or equivalent required. Associate or bachelor's degree in a related field is a plus.
2. Prior experience in medical billing collections or a similar role.
3. Familiarity with medical terminology, CPT, and ICD-10 coding.
4. Proficiency in healthcare billing software.
5. Strong analytical, organizational, and multitasking skills.
6. Excellent verbal and written communication abilities.
7. Ability to navigate payer websites and use online resources to resolve outstanding claims.
8. Knowledge of HIPAA and other relevant healthcare regulations.
Job Type: Full-time
