Medical Claims Negotiator Trainee

***$500 Sign-On Bonus***

Health Advocates is seeking Medical Claims Negotiator Trainees for our main office in Chatsworth, CA.

WE OFFER PAID TRAINING!

Job Summary

Develop knowledge and skills in evaluating disputed HMO and PPO claims to determine main cause and develop written and verbal appeals.

Job Responsibilities

  • Evaluate dispute reasons and implement strategies to engage in negotiations with Plans, Medical Groups, IPA’s (Independent Physician Associations), MSO (Management Services Organization), and TPA’s (Third Party Administrators) utilizing legal concepts related to Health and Safety Codes, Department of Managed Care, Department of Insurance, and other Healthcare related agencies
  • Review denied accounts to continue pursuit of lost revenue
  • Ensure timely contact and follow up with related parties for prompt resolution on claims

Qualifications

  • High School diploma or GED equivalent required; College degree a plus
  • Knowledge of medical terminology, billing, coding, or insurances helpful
  • 1+ year(s) of experience in a medical office setting
  • Strong analytical skills
  • Independent problem solving abilities
  • Excellent verbal and written communication skills
  • Detail-oriented with good organizational and time management skills
  • Basic office skills and computer literacy required
  • Must be able to type 35 WPM

Job Requirements:

Working Title: Case Manager   

Pay Rate: $17.75 + per hour (Depending on Experience)   

Position Type: Full-time; Non-exempt   

Schedule: Alternative work week schedule-Mon-Thurs 7:30 am-5:00 pm & Fri 7:30 am-12:30 pm   

Other: We conduct assessment testing and post offer background checks  

 

Benefits  

Health Advocates offers a comprehensive benefits package to meet the needs of today’s employees. They include: Healthcare and Insurance Benefits, Retirement Benefits, Employee Discounts, Employee Assistance Program, Credit Union, Rideshare Incentives, Employee Referral Program, Vacation/Holiday/Sick Leave and other time off.   

 

About Us  

Founded in 1990, Health Advocates is the largest privately funded public advocacy company in California providing Eligibility and Recovery services to California public health systems, private hospitals, clinics, health plans, government agencies, and individuals. We are dedicated to identifying medical coverage from third-party sources such as Medi-Cal, Social Security (SSI/SSDI), and other health insurance programs to minimize uncompensated care to the benefit of both our clients and the patients and applicants they serve. Our success is born from a very unique blend of resources, expertise, and an unwavering determination to identify coverage and recovery solutions on behalf of patients that simply have no ability to pay their increasing financial healthcare debts. Innovation and compassion are integral to Health Advocates’ identity and these attributes have historically served our clients very well. We are proud of our past, excited about our future, and confident of our continued success.   

This position requires access to confidential protected health information (PHI). Our employees are expected to protect the privacy of all PHI in accordance with Health Advocates’ privacy policies and procedures and as required by state and federal law including but not limited to the HIPAA Security and Privacy Rule.  

 

Health Advocates   

21540 Plummer Street, Suite B   

Chatsworth, CA 91311   

(818) 995-9500 p   

(818) 995-6872 f   

 

Health Advocates is an equal opportunity employer. We believe all of our employees should be treated fairly, consistently, and with dignity and respect. Our goal is to maintain a satisfied and productive team of employees. The keys to reaching that goal are effective leadership, fair and competitive wages and benefits, dedication to the job, and close attention to employee relations matters. 

Searchable words: Billing, Paralegal, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient Financial Services Representative, Patient Accounts Representative, Insurance Collector, Insurance Collector Specialist, Business Office Representative, Biller, Workers Compensation, Worker’s Compensation, Third Party Liability, Recovery, Revenue, Claims, Analyst, TPL, Negotiation, Negotiator, Lien, Follow up, Follow-up, Commercial, Private, Insurance,  Eligibility Representative, Hospital, Insurance, Healthcare, UBO4, HMO, PPO, POS, Managed Care, DME billing, HCFA-1500, CPT, EPIC, Paragon, Medisoft, Meditec, Citrix, Artiva, CareConnect, CMS1500, Med-Pay, negotiate settlements, issue refunds, Patient Rep, Appeals Specialist, Managed Care Collector, A/R., hospital Revenue cycle solutions, managed care account rep, collections, hospital, Insurance Follow-Up Specialist, Medical Bill Reviewer, Payment Recovery Specialist, Reimbursement Specialist, Insurance Claims Analyst, Insurance Claims Examiner, Insurance Verification Specialist, Patient Registrar, denial management services, Self-Pay Solutions, physician, lead insurance collector, Discrepancy Unit, Woodland Hills, San Fernando, Northridge, Canoga Park, Reseda, Granada Hills, West Hills, City of Hidden Hills, Calabassas, Tarzana, Encino, Sherman Oaks, Toluca Lakes, Universal City, Studio City, Valley Village, North Hollywood, Burbank, Glendale, Van Nuys, Panorama City, Sun Valley, sunland, Tujunga, Lakeview Terrace, Pacoima, North Hills, Sylmar, Mission Hills, Pacoima, Ariota

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