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Provider Services - Claims Processor
Location:
Los Angeles, CA
Description:
Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations. Provider Services - Claims Processor What We're Looking For: We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities: Process attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies. Effectively communicate with providers, parents, and CSI staff, as needed. Assist parents, providers, and staff in completing attendance records and/ or provider payment requests by responding to incoming inquiries regarding payment or claims submission. Communicate with case managers to resolve payment authorization issues on pending claims. Contribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed. Other duties as assigned. EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS: High School Diploma or GED Equivalent required. An AA/AS Degree in Accounting, Business, or Human Services preferred/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education Minimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred. Experience with child care providers and parents receiving subsidized child or social support services preferred. Must have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred. Must have strong customer service, organization, written and verbal communication skills. Requires excellent data entry and processing skills within a fast paced environment. Requires considerable accuracy, attention to details and ability to adhere to strict processing deadlines. Must be flexible and possess a strong ability to multi-task while working in a collaborative, team environment. Must have the ability to perform basic mathematical computations to verify and confirm payment calculations. Must have ability to work with diverse groups. Must have technical proficiencies working with Microsoft Excel and Microsoft Word Ability to understand and master complex program requirements and processes as they relate to provider payment Able to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and Able to work under pressure and with time-sensitive deadlines. Total Package of Benefits Medical/ Dental/ Vision - 100% Agency Paid for 2022! 401k Matching Options Flex Spending Pre-paid Legal Services Sick and Vacation Time Paid Holidays and Winter Break Opportunity for Growth and Development Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status. Additional Requirements: Must be fully vaccinated and remain fully vaccinated against COVID-19. Per the CDC, fully vaccinated means at least 2 weeks after (1) a second dose in a 2-dose series, or (2) a single-dose vaccine, and this status and definition applies to COVID-19 vaccines currently authorized for emergency use or approved by the U.S. Food and Drug Administration. For more information about Crystal Stairs, please visit our website at: www.crystalstairs.org Job Posted by ApplicantPro
Company:
Crystal Stairs
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Provider Services - Claims Processor
Provider Services - Claims Processor is a Insurance Jobs Claims Handler Job at Crystal Stairs located in Los Angeles CA. Find other listings like Provider Services - Claims Processor by searching Oodle for Insurance Jobs Claims Handler Jobs.
Provider Services - Claims Processor is a Insurance Jobs Claims Handler Job at Crystal Stairs located in Los Angeles CA. Find other listings like Provider Services - Claims Processor by searching Oodle for Insurance Jobs Claims Handler Jobs.