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3 jobs found in woodland, california

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    • sacramento, california (remote)
    • temporary
    • $19 per hour
    Are you looking to use your skills in a new Claims Liasion position? One of our top clients is HIRING REMOTELY in Sacramento, CA!  Education/Experience: High school diploma or equivalent. 3+ years of claims processing, provider billing, or provider relations experience, preferably in a managed care environment. Proficient in Excel, CPC certification and knowledge of provider contracts/reimbursement interpretation preferred. If this position interests you, apply today! salary: $19 - $19 per hourshift: Firstwork hours: 7 AM - 3:30 PMeducation: High` SchoolResponsibilities• Audit check run and send claims to the claims department for corrections • Identify any system changes and work notify the Plan CIA Manager to ensure its implementation • Collaborate with the claims department to price pended claims correctly • Document, track and resolve all plan providers’ claims projects • Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication • Identify authorization issues and trends and research for potential configuration related work process changes • Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes • Identify potential and documented eligibility issues and notify applicable departments to resolveSkillsClaims ProcessingQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Claims Liasion position? One of our top clients is HIRING REMOTELY in Sacramento, CA!  Education/Experience: High school diploma or equivalent. 3+ years of claims processing, provider billing, or provider relations experience, preferably in a managed care environment. Proficient in Excel, CPC certification and knowledge of provider contracts/reimbursement interpretation preferred. If this position interests you, apply today! salary: $19 - $19 per hourshift: Firstwork hours: 7 AM - 3:30 PMeducation: High` SchoolResponsibilities• Audit check run and send claims to the claims department for corrections • Identify any system changes and work notify the Plan CIA Manager to ensure its implementation • Collaborate with the claims department to price pended claims correctly • Document, track and resolve all plan providers’ claims projects • Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication • Identify authorization issues and trends and research for potential configuration related work process changes • Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes • Identify potential and documented eligibility issues and notify applicable departments to resolveSkillsClaims ProcessingQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • sacramento, california
    • temporary
    • $18 per hour
    Are you looking to use your skills in a new Referral Specialist position? This client is Hiring Now!  The client is looking for a candidate that is able to assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. The ideal candidate for this position will possess a High school diploma or equivalent, Knowledge of medical terminology preferred and 0-2 years of experience in a related industry.  If this position interests you, apply today! salary: $18 - $18 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer phone queues and process faxes within established standards Data enters authorizations into the system.. SkillsReferral Specialist QualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Referral Specialist position? This client is Hiring Now!  The client is looking for a candidate that is able to assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. The ideal candidate for this position will possess a High school diploma or equivalent, Knowledge of medical terminology preferred and 0-2 years of experience in a related industry.  If this position interests you, apply today! salary: $18 - $18 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer phone queues and process faxes within established standards Data enters authorizations into the system.. SkillsReferral Specialist QualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    • sacramento, california
    • temporary
    • $20 per hour
    Are you looking to use your skills in a new Program Coordinator position? One of our top clients is Hiring Now!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position will possess a High school diploma or equivalent, 2-3 years managed care or physician’s office experience, Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.  If this position interests you, apply today! salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.SkillsClaims ProcessingSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.
    Are you looking to use your skills in a new Program Coordinator position? One of our top clients is Hiring Now!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position will possess a High school diploma or equivalent, 2-3 years managed care or physician’s office experience, Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.  If this position interests you, apply today! salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.SkillsClaims ProcessingSchedulingBenefits AdministrationCustomer ServiceQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.

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