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Provider Dispute Resolution Intake Coordinator Job

Eingestellt von Yoh

Gesuchte Skills: Cms, Support

Projektbeschreibung

PROVIDER DISPUTE RESOLUTION INTAKE COORDINATOR needed for a Contract opportunity with Yoh's client located in Los Angeles, CA.

THE BIG PICTURE - TOP SKILLS YOU SHOULD POSSESS:

- Health Plan Claims Experience
- Complete Acknowledge Letter and Correspondence Letters
- Identify original paid or underpaid claims

WHAT YOU'LL BE DOING:

- Support the Provider Dispute Resolution Department
- Ensures Compliance is met regulated by CMS and DMHC Guidelines
- Process incoming certified mail, faxes, emails and USPS
- Responsible for keying Provider Dispute Resolution into SSO Systems
- Receive Calls and forward to claims provider call center in regards to each dispute

WHAT YOU NEED TO BRING TO THE TABLE:

- High School Diploma
- At least three (3) years of experience in a claims data entry role in a Health Plan Setting
- Strong Data Entry and filing skills
- Professional Telephone manner and excellent communication skills
- Must Know CMS and DHMC Timeliness Requirements

BONUS POINTS! OTHERWISE KNOWN AS PREFERRED QUALIFICATIONS:

- Three to five (3 - 5) years of related experience as a Claims data entry in a health plan setting

OPPORTUNITY IS CALLING, APPLY NOW!

RECRUITER: Christine Mosessian

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

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Ref:

SFSF: HC

Projektdetails

  • Einsatzort:

    Los Angeles (Downtown), Vereinigte Staaten

  • Projektbeginn:

    asap

  • Projektdauer:

    Keine Angabe

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

  • Kategorie:

    Webentwicklung, Sonstiges

  • Skills:

    cms, support

Yoh