and functional in all Partnership claim types Complete audits of the Specialist staff as requested Performs claims customer service...;or Partnership claims examining experience and completion of Partnership claims training;or equivalent combination of education...
effective and high quality projects to meet the needs of associated Partnership departments. Identifies and manages project... requirements and project budget. Valid California driver’s license and proof of current automobile insurance compliant...
Payroll Professional certification preferred. Valid California driver’s license and proof of current automobile insurance... compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based...
computer system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California driver...’s license and proof of current automobile insurance compliant with Partnership’s policy are required to operate a vehicle...
procedures. Ability to type 60-70 wpm. Valid California driver’s license and proof of current automobile insurance compliant... with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies...
Partnership departments and internal staff for additional review. Follows up and completes claims once response to request... has been received. Follows established Partnership policies and procedures, Partnership Claims Operating Instruction...
interpersonal skills. Valid California driver’s license and proof of current automobile insurance compliant with Partnership... elements. * Serves as a primary contact for internal and external stakeholders related to Partnership performance data...
HealthPlan of California (Partnership) assigned counties. Participates in the design, implementation, and/or expansion...Overview: This position is responsible for working with Indian Health Services and Tribal Communities in Partnership...
for all Partnership lines of business. Responsibilities: Perform concurrent and retro claims audits on new Claims examining staff.... Document audits and report all audit outcomes following the Partnership Claims Operating Instruction Memorandums on claims...
in Title 22, Medi-Cal Provider Manual, DMHC and/or CMS regulatory requirements and Partnership policies and procedures.... Works with other Partnership departments to resolve issues relating to authorization of medical services. Audits medical...