Organization: Health Plan of San Mateo
Location: South San Francisco, CA
Date Job Posted: January 9, 2020
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CLAIMS PROVIDER SERVICES REPRESENTATIVE I
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Claims Provider Services Representative I to help providers understand the policies and procedures in submitting claims, and assist in solving providers’ claim problems of a routine nature to ensure they are processed and paid on a timely basis. The essential duties & responsibilities will include the following:
Education and Experience: High school diploma/GED required. Associate of Arts degree preferred. Two (2) years’ experience working in a high-volume call center. One (1) year experience in a healthcare environment. Medi-Cal and Medicare experience preferred.
Knowledge of: Medicare and Medi-Cal programs. HCPCS, CPT, ICD-9 and Revenue coding. HIPAA regulations. Medical terminology. Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, and PowerPoint.
Ability to: Communicate effectively orally, in writing, and excellent phone skills. Be a self-starter. Independently solve problems and organize own workload according to department priorities and deadlines.
Compensation & Benefits
Starting Compensation Range: Depends on experience.
Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s Medical, Dental and Vision coverage. Employee pays a small portion of the dependent premiums (5%) for medical and dental benefits. Additional HPSM benefits include fully paid life, AD&D, STD, and LTD insurance; retirement plan (10% of salary for compensation/HPSM paid); holiday and vacation pay; tuition reimbursement plan; onsite fitness center and more.
How To Apply
Application Process: To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via email: firstname.lastname@example.org or via fax: (650) 616-8039. File by: Continuous until filled. . EOE. The Health Plan of San Mateo is proud to be an Equal Opportunity Employer and encourages minority candidates of all backgrounds to apply.
Submissions without a Cover Letter and salary expectations may not be considered