Mid-size physician medical group practice seeks an experienced managed care claims processor who has familiarity with the following:
1. Claims Processing - Medicare HMO/Medi-Cal HMO
2. Provider Disputes & Denial Letters
3. Priority and Complex Claims Issues
4. Ass't with HMO Claims Audits and Documentation
5. Maintain/Organize/Download HMO Capitation and Eligibility Files
6. Organize cap and elig reports for IPA physicians.
7. Customer Service and Claims Status Reviews
8. Discuss payment rates with providers.
We're looking for a claims "GOD"! M-F 40hrs/wk; Offer Healthcare Benefits, group life, vacation. Very stable company, looking for very stable indivdiual, a motivated self-starter who has to rise above the "ordinary".
|
It is ok to contact this poster with commercial interests.
Tags: HMO Claims Processor / Claims Issues (Huntington Park (5miles SE dwntn LA))
|
