Job Details
Job Description
Position Summary:
Responsible for entering encounter data onto the claims adjudication system. In addition, and/or data enter encounter information onto the HMO system(s).
Essential Duties and Responsibilities include the following:
- Responsible for the accurate and timely completion of tasks assigned and adhering to hourly/daily production standard in accordance with established policies and procedures.
- Process data entry of encounters with an accuracy rate not to fall below 97%.
- Identify issues that may influence compliance standards and notify Supervisor or Lead immediately.
- Communicates with management and makes recommendations to improve processes.
- Maintains a customer satisfaction focused, service mentality to strengthen and build relationships with Heritage Provider Network and other Regal Medical Groups.
- Attends administrative meetings as requested.
- Performs other duties as necessary.
The pay range for this position at commencement of employment is expected to be between$21 and $23hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:- Employer-paid comprehensive medical, pharmacy, and dental for employees
- Vision insurance
- Zero co-payments for employed physician office visits
- Flexible Spending Account (FSA)
- Employer-Paid Life Insurance
- Employee Assistance Program (EAP)
- Behavioral Health Services
Savings and Retirement:- 401k Retirement Savings Plan
- Income Protection Insurance
Other Benefits:- Vacation Time
- Company celebrations
- Employee Assistance Program
- Employee Referral Bonus
- Tuition Reimbursement
- License Renewal CEU Cost Reimbursement Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
RequirementsEducation and / or Experience Required:- 3 years or more experience, processing HMO claims in a managed care environment.
- Knowledge of medical terminology and coding preferred.
- Familiar with all regulatory requirements including CMS, DMHC and DHS preferred.
- Ability to type 35 WPM
- Personal computer skills including Microsoft Word required, Microsoft Excel