A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team.Key ResponsibilitiesDevelop and implement training programs for Claims, Medical Management, and Case Management staffMaintain knowledge of AHCCCS and Medicare regulations to ensure compliance and effective claims adjudicationAnalyze training needs and provide focused training based on data and audit findingsRequired QualificationsHigh School diploma or equivalentTwo years of training experience in an insurance or healthcare environmentThree years of experience with Case Management, Disease Management, or claims typesStrong working knowledge of Microsoft Office SoftwareKnowledge of medical terminology and coding (ICD-9, CPT-4)
Health Plan Claims Educator
A company is looking for a Health Plan Claims Educator to enhance the knowledge of the claims processing team. ...
Claims Data Entry Clerk II
The Claims Data Entry Clerk II is responsible for the accurate and timely data entry of claims and other documents, which includes: Keying claims for all lines of business, including complex claims. Reviewing claims for required information, returning claims to the provider when necessary. At least ...
Health Educator II Registered Dietitian at L.A. Care Health Plan
Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. The Health Educator II Registered Dietitian provides Medical Nutrition Therapy and Diabetes Self- Management Education via telehealth or in-perso...
Health Educator II Registered Dietitian (ALD)
The Health Educator II Registered Dietitian provides Medical Nutrition Therapy and Diabetes Self- Management Education via telehealth or in-person to L. Care Health Plan’s threshold languages is highly desirable. Certified Health Coach (CHC)Certified Health Education Specialist (CHES)Certified Diabe...
Manager, Claims
Works with the Claims Director, Claims Managers and Supervisors to ensure the Plan’s core system produces a high level of claims auto adjudication. The Manager, Claims directs the efforts of others in the achievement of the strategic, regulatory and operational objectives of the Health Plan. Demonst...
Travel Nurse - Registered Nurse - Nurse Educator - $2681.3 / Week
TotalMed Staffing is seeking an experienced Nurse Educator Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...
Travel Nurse - RN - Case Manager - $2659 / Week
Medical Talent is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Glendale, CA. ...
Program Manager Healthcare Data Analytics
A company is looking for a Program Manager, Healthcare Data Analytics to oversee internal business projects involving healthcare data analytics and reporting. ...
Case Manager Substance Use, E6
Case Manager Substance Use, E6. With the support of and in partnership with the E6 team, the Substance Use Case Manager performs a variety of tasks to assist the most vulnerable and chronically homeless individuals in their recovery from substances and in regaining control over their lives. The Subs...
Case Manager LVN
The Case Manager is responsible for a variety of tasks that lead to a high level of customer satisfaction in the most cost-effective manner. Participates in the orientation of new employees or cross training of other case managers as. Case Managers are assigned patients ranging in age from adult to ...