Healthcare Administrative Support

TEKsystemsLos Angeles, CA
$22 - $23Onsite

About The Position

This role involves high-volume provider outreach to collect medical records, validate provider demographic data, process contract amendments, support Medicare Compliance Attestations, and assist with Health Plan ID resubmissions. The goal is to ensure timely and accurate retrieval of information, maintain data accuracy and compliance, and support organizational growth initiatives.

Requirements

  • High-volume provider outreach experience.
  • Experience with medical record collection.
  • Experience validating and maintaining provider demographic data.
  • Experience processing provider contract amendments.
  • Experience supporting Medicare Compliance Attestations.
  • Experience assisting with Health Plan ID resubmissions.

Responsibilities

  • Conduct high-volume provider outreach (4,000+ providers) to support the collection of approximately 14,000 medical records (2023 data), ensuring timely and accurate retrieval.
  • Validate and maintain provider demographic data for 8,000+ providers across multiple health plan products, ensuring data accuracy and compliance.
  • Process and distribute 100+ provider contract amendments related to new product implementations, ensuring proper documentation and tracking.
  • Support the collection and tracking of Medicare Compliance Attestations, ensuring all required documentation is completed and submitted within deadlines.
  • Assist with Health Plan ID resubmissions (several hundred records), playing a critical role in maintaining provider network integrity and supporting organizational growth initiatives.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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