We have an opportunity to join the Alliance as a Claims Technician I in the Claims Department. 

 

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Claims Supervisor - Claims Technicians, you will open, sort, prepare, batch and scan claim forms and other documents. You will data enter, verify, validate, and process claims in Perfect Claim.  You will process Level I claim types.  You will assist with training of new hires in the claims control function and with cross-training other Claim Technicians as needed. You will provide support to the Claim Control Clerk.

 

ABOUT THE TEAM

We support Alliance members' access to care by ensuring medical services are paid to network providers accurately and on time.

 

WHAT YOU'LL NEED TO BE SUCCESSFUL

  • Knowledge of:
    • General office equipment, including scanner, personal computer, telephone, photocopier, fax, etc.
    • Medical terminology and related procedure and diagnostic coding (CPT/ICD, HCPCS) as well as knowledge of how to access available resource tools
  • Ability to:
    • Keep current with claims processing practices and procedures
    • Read and understand medical insurance Explanation of Benefits
  • Education and Experience:
    • High School Diploma or equivalent 
    • one year of relevant experience with claims processing in an automated claim environment; or an equivalent combination of education and experience may be qualifying

 

Additionally, all positions at the Alliance are required to meet these minimum qualifications.


OUR BENEFITS

  • Medical, Dental and Vision Plans
  • Ample Paid Time Off
  • 11 Paid Holidays per year
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Robust Health and Wellness Program
  • EV Charging Stations
  • And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve over 377,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here.


At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

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