Benefits Specialist

1 week ago

Northridge, United States REGAL MEDICAL GROUP, INC Full time

**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 responsibility.
- Communicates, monitors and audits processes and procedures necessary to achieve strategic objectives.
- Ensure all systems within their area of responsibility are reliable, responsive and support to the needs of the Regal Medical Group network.
- Develops and fosters a customer satisfaction focused, service mentality within department to strengthen and build relationships with Heritage Provider Network and other Regal Medical Group regions and departments and communicates a balanced view of Data Management importance in relation to other departments and business functions.
- Achieves successful delivery of data management deliverables meeting internal and external client needs
- Administers and ensures timely completion of all projects
- Reviews data management plans for content and structure
- Performs other duties as necessary

**Education and/or Experience**:

- 3-5 years of HMO Claims Adjudication experience (Professional & Institutional)
- In depth knowledge of Health Care and HMO Benefit products and/or certification as it relates to the association to Health plan benefits
- In depth knowledge of Coding (CPT,HCPCS,ICD9,DRG)
- In-depth knowledge, experience and understanding of the managed care industry.
- Medical group or IPA preferred.
- 3-5 years of experience in management of Health Care processing systems.
- Excellent written and verbal communication skills.

The pay range for this position at commencement of employment is expected to be between $22 per hour to $24/hour ; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience

**Full Application**:
Pay: $22.00 - $25.00 per hour

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift

People with a criminal record are encouraged to apply

Ability to Relocate:

- Northridge, CA 91325: Relocate before starting work (required)

Work Location: In person

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