Benefits Specialist - Northridge, United States - REGAL MEDICAL GROUP, INC

REGAL MEDICAL GROUP, INC

Verified Company

Northridge, United States

4 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Position Summary:

Provide daily support in the maintenance of Regal Medical Group's claims processing system. Supports accuracy of member benefit set up, assignments, claims processing, financial accuracy and data integrity.

Essential Duties and Responsibilities include the following:

Communicates and implements programs within focused area of responsibility.
Communicates, monitors and audits processes and procedures necessary to achieve strategic objectives.
Ensure all systems within their area of responsibility are reliable, responsive and support to the needs of the Regal Medical Group network.
Develops and fosters a customer satisfaction focused, service mentality within department to strengthen and build relationships with Heritage Provider Network and other Regal Medical Group regions and departments and communicates a balanced view of Data Management importance in relation to other departments and business functions.
Achieves successful delivery of data management deliverables meeting internal and external client needs
Administers and ensures timely completion of all projects
Reviews data management plans for content and structure
Performs other duties as necessary

Education and/or Experience:

35 years of HMO Claims Adjudication experience (Professional & Institutional)
In depth knowledge of Health Care and HMO Benefit products and/or certification as it relates to the association to Health plan benefits
In depth knowledge of Coding (CPT,HCPCS,ICD9,DRG)
Indepth knowledge, experience and understanding of the managed care industry.
Medical group or IPA preferred.
35 years of experience in management of Health Care processing systems.
Excellent written and verbal communication skills.

The pay range for this position at commencement of employment is expected to be between $22 per hour to $24/hour ; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience

Full Application:

Pay:
$ $25.00 per hour

Benefits: