Education and Training Specialist - CLAIMS PROCESSING
$29.62 - $45.31 per hourProvidence
Description Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Coordinate, plan, prepare, schedule, deliver, and evaluate staff education, manuals, and materials. Assist with the orientation, education and integration of new employees in the Claims Department. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Bachelor's Degree -or- equivalent educ/experience Any combination of experience or equivalent background: 5 years experience of acquired in-depth technical knowledge of functional area i.e., claims operations, HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. Proficiency and experience in using multimedia training resources and MS Office applications such as Word, PowerPoint and Excel, etc. Experience in design, development and facilitation of educational programs in a corporate setting a plus. Ability to create computer-based learning programs a plus. Why Join Providence? 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. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment 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. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 450440 Company: Providence Jobs Job Category: Learning & Development Job Function: Human Resources Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Mission Hills 11165 N Sepulveda Blvd Work Location: Facey Sepulveda Annex-Mission Hills Workplace Type: On-site Pay Range: $29.62 - $45.31 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. #J-18808-Ljbffr Providence
$17 per hour
...overseeing insurance eligibility, and managing the billing process with insurance companies Education: High school diploma or GED equivalent Your job... ...the secrets of insurance eligibility, correcting claim denials with superhero finesse, and engaging in epic follow...ClaimsWork at officeRemote workWork from homeFlexible hours- ...Ending human trafficking through education, advocacy and an empowerment... ..., educational and leadership training, and mentorship. Through... ...Title/Position: Training Specialist Status: Exempt Department... ...attendee reports on Excel Process Certificates of Completion, CEUs...SuggestedFull timeFor subcontractorWork at officeLocal areaTrial period
$21 per hour
...standard in clinical practice, education, and research.We are seeking... ...slips, develop insurance claim documentation, and submit claims... ...transportation options (buses, trains, free tram service).Discounts... ...of the application or hiring process should contact USC Human...ClaimsHourly payFixed term contractWork experience placementWork at officeLocal area- ...Air Force Base California is searching for SAP Security Education and Training Awareness Specialist (NHGS 14/15 equivalent). Description: As a SAP... ...important issues articulate technical information and processes in meetings produce clear and useful reports interface...SuggestedFull timeContract workTemporary workWork at officeRemote workTrial period
$88.03 - $99.96 per hour
...of official transcripts showing completion of required degree. Unofficial transcripts will be accepted only during the application process. Foreign transcripts and degrees require official certification of equivalency to U.S. transcripts and degrees by a certified U.S....SuggestedHourly payTemporary workPart timeLocal areaImmediate startFlexible hours- ...information. Communicate with IPA regarding prescription claim or prior authorization status. Inventory management including... ..., medical device set-up. Other duties as assigned Education and Qualifications ~ High School Diploma or GED Equivalent...ClaimsLocal area
- ...people each year. Through advocacy and education, we break barriers and create opportunities... ...assessments, planning and evaluation processes. Attends ISP/IPP meetings. Assists participant... ...of his/her Service Plan. Meets required training hour’s timely, utilizing internal and...Work at officeLocal areaWork from home
$20 - $23 per hour
Medpoint Management is looking for a Claims Adjuster based in Los Angeles, California. The role involves adjusting claims per regulations... ...obligations, researching problem claims, and suggesting process improvements. Ideal candidates should be high school graduates...ClaimsHourly pay$105k - $118k
...and for more detailed information on the application and hiring process, please visit this link: Applicants must submit (i) a... ...for determining the applicability of the fee. Education Code 89521 Requirements: Applicants will be required to disclose...Interim roleH1bWork at officeWeekend workAfternoon shiftWeekday work- ...transcripts that are evaluated by an independent educational-equivalency evaluation company and... ...work experience, formal education and training. # A cover letter addressing the... ...accommodation to complete the employment process must notify Employment Services. The...Part timeWork experience placementWork at office
$20 - $26 per hour
...are seeking a detailed oriented and driven Payment Specialist who specializes in ACH, EFT claims, and wire processing to join our team. As an East West Bank employee,... ...status withing established SLAs. Cross train and support wire processing activities. Perform other...ClaimsFull timeWeekend work$34 per hour
...Description Job Description Adaptive Skills Training Specialist (Instructional Aide/Senior... ...Available Must have BA or BS in education, psychology, counseling, nursing, social... ...Criminal background check (via the Live Scan Process) ABOUT US: We Promote From Within!...Hourly payFull timePart timeLocal areaMonday to FridayFlexible hours$59k - $66k
$59,000 - $66,000 a year Educator Human Resources Generalist Role Basics Job... ...rapid resolution within established HR processes. Employee Relations Escalations:... ...including information collection, unemployment claims, and garnishment processing—with strict...ClaimsPermanent employmentFull timeTemporary workWork at officeLocal areaImmediate start- ...when appropriate, to program and division curriculum development processes. Attend program, divisional and College meetings and events as... ..., age or veteran status. As required by Title IX of the Education Amendments of 1972, Ivy Tech Community College does not discriminate...Work at office
$43k - $52k
...Dental Claims Specialist Looking for a role where your attention to detail truly matters? At AZ Cosmetic and Family Dentistry in Glendale... ...meaningful tasks that keep everything running seamlessly. You process dental claim payments, send out claims promptly, and audit...ClaimsFull timeWeekend work- ...lot of time and energy in your education. Now you want the chance to... ...Pharmacist licensure exams and processes within 120-days of the... ...rejections and complete any manual claim formsPerform all prescription... .../implement the training and development of Pharmacy Support...ClaimsWork experience placementInternshipNight shift
- Providence Medical Foundation is seeking an Education Programs Specialist to develop and deliver claims training that raises performance and aligns with NSS strategic goals. You will coordinate staff education, manuals, and materials under the Claims Director. This role...Claims
- ...Clinical - Other role to support the provider community through virtual and onsite visits, claims follow-up, and research support. The position involves developing and delivering training, serving as a liaison to internal departments, and providing targeted billing and...ClaimsRemote jobWork from home
$90k - $120k
...direct patient care activities, clinical education, and the continuous improvement (Quality... ...Standard/Code of Conduct, Federal False Claims Act and HIPAA. Effectively plans,... ...Employs a strong Quality Improvement (QI) process for the nursing department and participates...ClaimsFull time$77.1k - $100.2k
...lives and achieve their dreams through education. We trust in the power and delight of learning... ...-education course materials and career-training curricula. LMs collaborate with a wide... ...throughout the curriculum development process, seeking out varied perspectives and expertise...Full timeWork experience placementFreelanceWork at officeLocal areaRemote workWorldwide- ...strengthening provider engagement, education, and long-term partnership by... ...expectations, authorization processes, and appropriate utilization of NexWave. The Specialist develops trusted relationships... ...utilisation review, documentation or claims processes Demonstrated ability...Claims
$43k - $52k
...re ready to join a company that truly stands out, this is your moment. Location: Glendale, AZ Type: Full-time Dental Claims Processing Specialist WHAT WE BRING TO THE TABLE Pay: $43,000 - $52,000 Your Excellent Benefits Include: Medical Vision Life insurance In...ClaimsFull time$5,400 per month
Training Specialist University of California Los Angeles Requisition Number: 40846 Salary: $5,400 - $11,467 monthly Position Description:... ...and every one of them plays a vital role in our mission of education, research, and service. Our high-quality comprehensive benefits...Contract workWork at office- ...Job Description Job Description TRAINING SPECIALIST ABOUT ROBBINS BROTHERS WE ARE (LITERALLY) IN THE BUSINESS OF MAKING DREAMS... ...packages. We cultivate brighter futures with recognition, awards, education, mentorship, and opportunity, which help each of us develop...Full timeWork at officeLocal areaRemote workWork from homeHome officeFlexible hoursShift workAfternoon shift
- ...Benefits: Opportunity for advancement Training & development Employee discounts About the... ...and collections Submit accurate, timely claims to insurance payers Follow up on unpaid,... ...understanding of insurance billing, claims processing, and collections Excellent time...ClaimsFull timeWork at office
$203.9k
...there have been substantiated findings of misconduct that would violate the University’s Faculty Code of Conduct. To implement this process, UCLA requires all applicants for Academic Senate faculty positions to complete, sign, and upload the form entitled “Authorization...- A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters in California... ...assisting clients through the claims process after disasters. Ideal candidates will be... ...claims. The company offers comprehensive training and support to ensure your success in...Claims
- ...geographic area, while providing our patients education to elect the best insurance options for... ...followed through with the application process. Obtains premium statements and... ...Completes and follows up with paperwork when claims are disputed for non-payment. Collects...ClaimsWork at officeLocal area
$30 - $40 per hour
...including opening/closing files, calendaring events, insurance claims, and case development. Resolve property damage (PD), loss-of... ...skills preferred. ~ Strong understanding of the injury claims process, medical terminology, treatment coordination, and medical...Claims- ...have a strong background in medical billing, coding, and insurance claim management, with a proven ability to ensure timely and accurate... .... Experience with EHR/PM systems is preferred. Responsibilities Process and submit insurance claims accurately and efficiently. Review...Claims
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