of provider claims training to medical providers and the community. Responsibilities: Coordinates with Claims Resolution..., and resolution of complex provider inquiries, appeals, and Coordinates with CRCs, Claims, and Provider Relations, the development...
diagnostic coding. Knowledge of medical terminology. Expertise in automated claims procedures and related problems resolution...Overview: To supervise the Medi-Cal Claims Specialists and Examiners. Ensures delivery of highest level of customer...
diagnostic coding. Knowledge of medical terminology. Expertise in automated claims procedures and related problems resolution...Overview: To supervise the Medi-Cal Claims Specialists and Examiners. Ensures delivery of highest level of customer...
Resolution Coordinators. Supervises the customer service work-flow. Supports Claims Customer Service Specialist and customer... Services preferred; minimum three (3) years supervisor experience in a claims or customer service environment preferred...
Overview: To supervise the claims auditors; claims fraud, waste, and abuse coordinators and the related job functions...: Supervises claims auditors and their job functions. Supervises the audit workflow. Supports claims audit functions. Maintains...
, implementation and evaluation of Partnership’s clinical case management services. Collaborates with Supervisor(s) to oversee the... resolution. Performs random auditing and review of all case management activities to ensure DHCS compliance standards...