39 days agoDxc Technology

Medi-Cal Conlan Member Agent

  • Sacramento (Sacramento)
  • Marketing

Job description


·  Job Description:

·  Verify member Medi-Cal eligibility
·  Verify the service was a Medi-Cal covered benefit on the date of
service
·  Evaluate supporting medical expense documentation provided by
the member
·  Review rendered services for medical necessity
·  Determine whether Medi-Cal payment was previously made
·  Verify that the provider reimbursed the beneficiary
·  Maintain documentation for each case
·  Documents contacts in CRM
·  Determine service code based on the description of a service
·  1-year minimum experience