Providence St. Joseph Health

Job Information

St. Joseph Health / Covenant Health Provider Research Assistant - Claims in Anaheim, California

We are looking for a Provider Research Assistant with HSS NSS

Claims Department at St. Joseph Heritage Healthcare.

Location: Anaheim

Schedule: Full-time 80 Biweekly Hour

Shift: 8 Hours Day Shift

Job Summary:

Working under the direction of the Manager, Claims this position is responsible for performing research for existing and new provider information for all claim types. Acts as a liaison between the Information Systems partner, Credentialing Department, and Health System Networks to ensure provider information is accurately updated in IDX and to ensure to ensure compliance with Medicare guidelines, AB1455 and departmental policy and procedures.

Skills:

  • Computer literate in Microsoft Word, Windows, Excel, and an email system.

  • Accurate typing of 35-50 wpm.

  • Demonstrates dependability and strong organizational skills.

  • Requires good written and verbal communications skills to communicate effectively with individuals at all levels of the organization.

  • Must be able to work under minimal supervision.

  • Must be able to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information.

  • Good telephone etiquette.

  • Intermediate knowledge with Microsoft windows operating environment and Internet, preferred.

Position Requirements:

Education: H.S. Diploma or GED

Experience:

  • 1 year Administrative contracting experience within the Healthcare industry; 3 years preferred.

  • 2 years Experience as a Claims Examiner.

St. Joseph Health - Mission Heritage Medical Group is one of California's most respected medical groups. With over 3,000 employees and 75 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, Mission Heritage Medical Group has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of team work, a commitment to excellence and a strong adherence to the organization's mission, vision and values.St. Joseph Health - Mission Heritage Medical Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Mission Heritage Medical Group complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Company: Heritage Healthcare

Category: Research

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