Claims Contract Specialist

Position Summary: Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the configuration of Contracting Database, Providers, Vendors, Fee schedules and Capitation rates. Performs system maintenance functions in a manner that is responsive to customer needs and support Regal...

Job DescriptionPosition Summary: Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance functions in a manner that is responsive to customer needs and support...

Job DescriptionPosition Summary: Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance functions in a manner that is responsive to customer needs and support...

Job DescriptionPosition Summary: Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance functions in a manner that is responsive to customer needs and support...

Job DescriptionPosition Summary: Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance functions in a manner that is responsive to customer needs and support...

Job DescriptionPosition Summary: Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance functions in a manner that is responsive to customer needs and support...

**Position Summary**: This position will provide day-to-day support as a Medical Group Accounts Receivable Specialist. This position focuses almost entirely on accounts receivable follow-up and is responsible for performing third party insurance follow-up in the Central Billing Office. The personnel within this position are responsible for accomplishing...

**Position Summary**: This position will provide day-to-day support as a Medical Group Accounts Receivable Specialist. This position focuses almost entirely on accounts receivable follow-up and is responsible for performing third party insurance follow-up in the Central Billing Office. The personnel within this position are responsible for accomplishing...

**Position Summary**: Provide daily support in the maintenance of Regal Medical Group’s claims processing system. Supports accuracy of member benefit set up, assignments, claims processing, financial accuracy and data integrity. **Essential Duties and Responsibilities include the following**: - Communicates and implements programs within focused area of...

**Position Summary**: This position is directly responsible for researching and maintaining coordination of benefits of all contracted and non contracted health plan entities as reported by any health plan, provider, Medicare, TPL, Workers Comp or internal departments. They are to ensure that all EZ-Cap system eligibility data is current and accurate....

**POSITION**:Medical Referral Clerk **RESPONSIBILITIES**: This position reports to the Clinic Administrator. S/he will process all HMOs, Medi-Cal, Medicare and My Health LA (MHLA) referrals. S/he will enter data to generate authorization numbers. Present prospective and retrospective referrals to the Utilization Review (UR) meeting. S/he will maintain...

**Position Summary**: This position is directly responsible for researching and maintaining coordination of benefits of all contracted and non contracted health plan entities as reported by any health plan, provider, Medicare, TPL, Workers Comp or internal departments. They are to ensure that all EZ-Cap system eligibility data is current and accurate....

**Position Summary**: This position will provide day-to-day support as a Medical Group Accounts Receivable Specialist. This position focuses almost entirely on accounts receivable follow-up and is responsible for performing third party insurance follow-up in the Central Billing Office. The personnel within this position are responsible for accomplishing...

**Careers that Change Lives **At Medtronic, we not only have the opportunity to manage indirect categories for the largest medical device company in the world, but we also get to experience the immense sense of purpose that comes from knowing that the money we save is reinvested into technology that helps alleviate pain, restore health, and extend lives of...

Job DescriptionPosition Summary: The Customer Service Representative responds to telephone inquiries from Health Plans, and Providers/Billing offices to provide information and clarification relating to RMG services such as claims, and eligibility in resolving inquiries. Essential Duties and Responsibilities include the following:Receives incoming calls...

Job DescriptionPosition Summary: The Customer Service Representative responds to telephone inquiries from Health Plans, and Providers/Billing offices to provide information and clarification relating to RMG services such as claims, and eligibility in resolving inquiries. Essential Duties and Responsibilities include the following:Receives incoming calls...

**Job Summary**: **Job Type**: Contract Pay: $50.00 - $100.00 per hour Expected hours: 4 - 6 per week Grade school specialties: - Elementary school - English - Middle school - Reading Schedule: - Choose your own hours Ability to Relocate: - Northridge, CA 91324: Relocate before starting work (required) Work Location: In person

**Position Summary**: The Coordinator, Network Management is responsible for working as the internal liaison in maintaining, processing and reviewing department databases and reporting on a daily basis to assist the Network Management Department in meeting the overall network growth and development goals. **Essential Duties and Responsibilities include the...

Position Summary: Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance functions in a manner that is responsive to customer needs and support Regal...

We are looking for CSR, Member Services to help our Health Net Concierge Lines to join our Member Services team in Northridge. Under general supervision, respond to telephone inquiries from members, Health Plans, providers and employer groups to provide information and clarification relating to RMG services such as claims, referrals, and eligibility in...