Claims Trainer
Partnership HealthPlan of California · Fairfield, CA · 1 wk ago
Education$33.65–$40.38/hrFull-time
Responsibilities
- Train all levels of staff on all claim types on-site or regional site(s).
- Train all levels of staff on CIF processing, generating and processing adjustments both on-site and regional site(s).
- Provide feedback and recommendation to the Claims Audit Supervisor and Associate Director of Claims on staff training needs and system adjustments.
Qualifications
- Minimum two (2) years of claims examining experience and completion of Partnership Claims training; or equivalent combination of education the experience.
Special Skills, Licenses and Certifications
- Familiar with Medi0Cal and/or managed care claims processing.
- Knowledge of CPT, HCPC procedure coding, and ICD -9/ICD10 diagnostic coding.
- Typing speed 30 wpm and proficient use of 10-key calculator.
- Familiar with AMISYS or similar claims systems.
- Understanding of claims examining requirements.
Performance Based Competencies
- Excellent oral and written communication skills.
- Ability to effectively exercise good judgment within scope of authority and handle sensitive issues with tact and diplomacy.
- Ability to work on multiple tasks within established time frames and sometimes conflicting priorities.
- Good organizational skills with ability to maintain accurate records and documentation of actions and decisions.
Work Environment And Physical Demands
- Ability to use a computer keyboard.
- More than 60% of work time is spent in front of a computer monitor.
- Ability to move, carry or list objects of varying size, weighing up to 5 lbs.