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Provider Claims Training Specialist - San Diego, CA - Remote
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Job Description
- Req#: 33670
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $55,000 per year
- Generous, flexible vacation policy for all salaried, full-time candidates
- Comprehensive health benefits and 401(k) employer match
- Opportunities for career growth through leadership and technical development academies
- Work flexibility with the option to work from home
- Chance to make a positive impact on the healthcare community by supporting providers
What to Expect (Job Responsibilities):
- Provide training to the provider community through workshops, seminars, and group events
- Act as a liaison between providers and internal departments to implement necessary Medicaid programs
- Offer one-on-one billing support and conduct claim research and analysis
- Resolve provider issues using established policies and procedures, ensuring compliance
- Travel within the assigned region for provider visits, outreach events, and training sessions
What is Required (Qualifications):
- Three or more years of medical claims processing or provider billing experience
- Working knowledge of CMS-1500 and UB-04 claim forms
- Experience in researching and resolving claim submission issues and denials
- Strong analytical, organizational, and time management skills
- Excellent communication and training skills for both virtual and in-person settings
How to Stand Out (Preferred Qualifications):
- Experience with Medi-Cal or Medicaid programs
- Proven ability to manage multiple provider requests efficiently
- Willingness to travel for provider outreach and training sessions
#HealthcareServices #TrainingSpecialist #CareerOpportunity #WorkFromHome #HealthcareInnovation
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