Claims Specialist - Apple Valley, United States - Choice Medical Group

Choice Medical Group
Choice Medical Group
Verified Company
Apple Valley, United States

1 week ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

JOB SUMMARY
Audit all duplicate and overpaid claims and send to finance to recoup. Report Monthly Timeliness and Quarterly PDR reports. Respond to all Health Plan demands/requests. Enter in HCC claims into EZ-Cap. Assist Compliance Supervisor with pulling Audit documents as needed. Any other task assigned by Supervisor/Manager/Director.


QUALIFICATIONS

  • High School Diploma or Equivalent
  • Requires an ability to communicate well, multitask and stay organized
  • Knowledge of Microsoft (Word, Excel, PowerPoint)
  • Strong computer and data entry skills

SKILLS

  • Must have effective communication, facilitation, interpersonal and professional diplomacy skills.
  • Strong attention to detail with ability to manage multiple priorities while meeting deadlines.
  • Able to Problemsolve, negotiate and demonstrate independent decisionmaking.
  • Strong communication skills in both oral and written form.
  • Positive attitude and takes a team approach to management.
  • Maintain strong skills in diplomacy, professionalism and trustworthiness.
  • Ability to manage multiple priorities and projects.
  • Detail oriented with desire for producing work with 100% accuracy.
  • Excellent analytical and problemsolving skills.

Pay:
$19-$24.70/hr DOE

For more information about equal employment opportunity protections, please view the 'EEO is the Law' poster.


NOTICE:

EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT


PAY TRANSPARENCY NONDISCRIMINATION PROVISION
Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.

Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
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