This job is closed
We regret to inform you that the job you were interested in has been closed. Although this specific position is no longer available, we encourage you to continue exploring other opportunities on our job board.
About the position
Working under the direction of the Director Claims or EDI Supervisor, this position is responsible for performing and reviewing claims data for all claims and resolving submission rejections following the timeliness and accuracy standards set form by CMS, Department of Managed Care, AB1455, and the EDI Department policies and procedures. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Responsibilities
- Perform and review claims data for all claims.
- Resolve submission rejections following timeliness and accuracy standards.
- Adhere to CMS, Department of Managed Care, AB1455, and EDI Department policies and procedures.
Requirements
- 2 years General clerical and data entry experience within a Medical Group, IPA, or Health Plan.
Nice-to-haves
- ICD-10, HCPC, medical terminology and medical coding experience.
- Epic/Clearinghouse experience.
Benefits
- Best-in-class benefits designed to support you and your family in staying well, growing professionally, and achieving financial security.
