Anaheim, CA, USA
4 days ago
Senior Call Center Representative - Claims Processing

Under the direction of the Supervisor/Manager and/or Director, the Sr. Call Center Representative is responsible for answering and logging incoming calls into IDX from providers, members and health plans regarding claims status, eligibility, and authorization issues and request adjustments when appropriate. In addition, this position will assist in orientation/training of current and new employees.

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:

1 year of experience as a Claims Examiner in an IPA, Medical Group or Health Plan. 2 years of experience in a medical/institutional claims customer services unit within a health plan, medical group or IPA setting. Experience with computerized claims processing/transaction system and medical coding (CPT, ICD9 and HCPCS).

Preferred qualifications:

Experience within the Health Care Industry. Experience leading teams. IDX experience.

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.

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