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
Employment practices will not be influenced or affected by an applicant’s or employee’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.