Description
A Medical IPA in Mid-Wilshire is in the need of a Member Services Representatives. The Member Services Representatives is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. The Member Services Representatives ensures accuracy, reports issues and works to resolve as well as ensuring compliance and regulatory guidelines and health plan requirements are met. The Member Services Representatives may assist in providing customer service, member services, and others in working with providers/billing offices when needed. The Member Services Representatives will maintain databases, audit information and works with patients to process patient payment.
Requirements
Medical Terminology, Medical Billing, HIPAA, IPA
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