[Remote] Provider Claims Training Specialist - San Diego, CA - Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company that values contributions and offers career reputed company opportunities. The Provider Claims Training Specialist supports the provider community by delivering training and acting as a reputed company between providers and internal departments, ensuring compliance with program policies.
Responsibilities
• Under minimal supervision, performs routine to reputed company tasks that are reputed company to provider claiming, program policies, and training
• Provides training (workshops, seminars, program specific group events) to the provider community and acts as reputed company with our internal departments and the customer to implement programs that are necessary for the reputed company program
• Provides one-on-one billing support, claim research and analysis, and targeted reputed company to providers; supports provider association inquiries and events
• Applies knowledge of established policies and procedures to resolve provider issues, and to work with the customer to ensure compliance
• Exercises independent judgment reputed company defined practices and procedures to define appropriate actions; escalates areas of concern to leadership/the reputed company as defined by procedures; evaluates unique circumstances and makes recommendations
Skills
• Three or more years of medical claims processing or provider billing experience, including working knowledge of CMS-1500 and UB-04 claim forms
• Hands-on experience researching, resolving, and educating providers on claim submission, denials, and reimbursement processes; Medi-Cal or reputed company experience preferred
• Strong analytical, organizational, and time management skills, with proven ability to manage multiple provider requests reputed company
• Excellent communication, presentation, and training skills for both virtual and in-person settings, with a reputed company on simplifying reputed company billing and policy topics
• Willingness and ability to travel reputed company the assigned region to conduct provider reputed company, reputed company events, and training sessions
• Medi-Cal or reputed company experience preferred
Benefits
• Generous, flexible vacation policy
• A 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• reputed company of leadership and technical development academies
reputed company
• reputed company is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital. It was founded in 2009, and is headquartered in Irving, Texas, USA, with a workforce of 10001+ employees. Its website is https://www.gainwelltechnologies.com/.
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