State of California Veterans Jobs

ca-edd Logo
Mobile ca-edd Logo

Job Information

Randstad Patient Account Representative in Mission Hills, California

Patient Account Representative

job details:

  • location:Mission Hills, CA

  • salary:$22 per hour

  • date posted:Monday, November 16, 2020

  • experience:Experienced

  • job type:Temporary

  • industry:Health Care and Social Assistance

  • reference:S_876165

job description

Patient Account Representative

Assistant Case Manager - Utilization Management - Referrals, Authorization & Adverse Determination Review

Duration: 6+ months

Pay: $22.40/hour

Shift: 8 AM to 5 PM

Responsibilities:

? Review patient files for completeness before health insurance review for procedure approvals.

Working hours: 8:00 AM - 5:00 PM

Skills:

--Obtain information if needed, including: Supporting clinical documentation, ICD-10, CPT, or HCPC codes.

--Assist in gathering clinical information needed to prove the medical necessity of patient procedure to send to health insurance company

Education:

High School

Experience:

Experienced

Qualifications:

? 1 year - Experience in a hospital, health insurance company or medical office/clinic setting

? 1 year - Experience in utilization management or case management with experience in medical terminology and coding.

? High School diploma/GED

? Communicates with physician offices, processing staff, and other departments as needed to get information for approval of procedure.

? Initiates Information Member Notice based on benefit or eligibility and supports the issuing of denial letter processing if needed

Apply Today

? Communicates with physician offices, processing staff, and other departments as needed to get information for approval of procedure.

? Initiates Information Member Notice based on benefit or eligibility and supports the issuing of denial letter processing if needed

Interview Today!

What are the highlights of your Utilization Case Management work related to Referrals, Authorizations & Adverse Determination Review experience?

How does your Utilization Case Management work experience relate to Medical Records Review, Consultation; Delays, Modifications or Denial of Services?

Randstad 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. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law. San Francisco Fair Chance Ordinance: Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

DirectEmployers