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Provider Dispute Resolution Intake Coordinator Job
Eingestellt von Yoh
Gesuchte Skills: Cms, Support
Projektbeschreibung
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
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Einsatzort:
Los Angeles (Downtown), Vereinigte Staaten
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Projektbeginn:
asap
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Projektdauer:
Keine Angabe
- Vertragsart:
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Berufserfahrung:
Keine Angabe
Geforderte Qualifikationen
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Kategorie:
Webentwicklung, Sonstiges