This position is responsible for working with the Director of Claims to ensure compliance with AB 1455 Provider disputes, including payment, research and preparing quarterly reporting to the Health Plan. Position will also ensure that IPA is compliant with all regulations under AB 1455 and Federal Billing guidelines. Position will also review mail and assist with provider calls during peak periods.
Required: College degree in related field or years of experience in the claims area which exceeds minimum years of experience requirement
Required: Minimum of 4 years employment in a managed care claims capacity.
Required: Drivers License
Primary Location: Cypress, California
Facility: Coast Healthcare
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 1905038842
About Coast Healthcare
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.