• Job Description

  Req#: JR4948
  Employer Industry: Healthcare Services
  
  Why consider this job opportunity:
  - Salary up to $30.00 hourly
  - Opportunity for career advancement and growth within the organization
  - Comprehensive benefits package including Medical, Dental, and Vision insurance
  - Flexible Spending Accounts and 403(b) Retirement savings plans with employer matching contributions
  - Paid Time Off & Holidays, along with Paid CME Days
  - Unique perks such as tuition reimbursement and pet care insurance
  
  What to Expect (Job Responsibilities):
  - Provide support to the Senior Care Services/PACE department, ensuring timely referral and authorization processing per state and federal guidelines
  - Troubleshoot issues and coordinate with leadership when problems arise
  - Ensure compliance with pre-authorizations and reimbursement regulations pertaining to Medi-Cal, CCS, and other government programs
  - Assist in managing authorization referrals within utilization management
  - Maintain documentation and records in accordance with organizational standards
  
  What is Required (Qualifications):
  - High School Diploma or equivalent required
  - Minimum of 1 year of experience in a medical billing environment, preferably with pre-authorizations and reimbursement regulations
  - Prior experience in a clinic or healthcare specialty call center
  - Experience in utilization management processing authorization referrals is preferred
  - MA or Medical Billing Certificate preferred
  
  How to Stand Out (Preferred Qualifications):
  - Knowledge of Medi-Cal, CCS, and other government programs
  - Additional experience in an IPA or HMO setting
  - Strong communication and problem-solving skills
  - Familiarity with healthcare compliance and regulatory standards
  - Ability to work effectively in a fast-paced environment
  
  #HealthcareServices #CareerOpportunity #CompetitivePay #Benefits #CareerDevelopment
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
  We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

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