Eligibility Process Lead

3 days ago


Orange, California, United States Prospect Medical Holdings Full time

Responsibilities: The successful candidate will be responsible for the daily operational activities related to health plan eligibility file loads into IDX, including data integrity analysis, field mapping, and implementation of network affiliation and plan codes. They will also be responsible for meeting with health plan and vendor contacts on issues with health plan file data, articulating eligibility issues and processes, and performing testing and troubleshooting on new or updated health plan files.



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