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Provider Specialist Job
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | San Mateo, CA San Mateo, California |
About this job
Provider Specialist needed for a contract opportunity with Yoh's client located in San Mateo, CA.
Top Skills You Should Possess:
- Claims Experience
- Managed Care Experience
What You'll Be Doing:
- Reporting to the Claims Director
- Review and resolve provider disputes for all lines of business for contracted as well as non-contracted providers in accordance with state and federal statutes, regulations, and program guidance
- Research issues; adjust claims, including computation of interest owed as appropriate
- Perform other duties as assigned
What You Need to Bring to the Table:
- High School Diploma or Associates Degree preferred
- Claims Provider Services and Managed Care experience
- Working knowledge of CPT, HCPC, and Revenue Codes
- Medical claims processing and reimbursement experience preferred
- NCCI edits and MediCal experience is a plus
- Must have excellent writing, verbal, and customer service skills
- Proficient in Microsoft Office Applications and Computer
What are you waiting for? Apply Now!
Recruiter: Annie Gill
Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK. Find out more !
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. to contact us if you are an individual with a disability and require accommodation in the application process.
J2W: HC
MONJOB
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Ref: 1061767
SFSF: HC