Job Information

Providence Senior Claims Representative in Anaheim, California

Description

Working under the direction of the Manager of Revenue Recovery, this position is responsible for posting revenue with respect to all HP Contractual carves outs for all networks of SJHH. This position will also assist with special claims projects for overpayments. This position will be back up for other department areas as membership increases.

Required qualifications:

  • 3 years experience in medical/institutional claims processing within a medical group/IPA or HMO setting

  • 1 year experience with Independent revenue recovery showing outstanding outcomes

Preferred qualifications:

  • Associate’s Degree

  • Experience working with health plans on recoveries

  • IDX experience

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Requsition ID: 106724
Company: Providence Jobs
Job Category: Claims
Job Function: Revenue Cycle
Schedule: Full time
Shift: Day
Career Track: Admin Support
Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES
Address: CA Anaheim 200 W Center St Promenade

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.