This is a temporary position. The length of the assignment is always dependent on business needs and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. This role is remote and can be located anywhere in California

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Claims Supervisor you will:

Verify, process, and/or adjudicate claims, including applying detailed consideration, standards in pending and releasing claims from pend edits and for proper application of program policy related to claim entry and analysis
Assists with training new hires and cross-training other Claims Technicians

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

To read the full position description, and list of requirements click here.

Knowledge of:

- medical insurance Explanation of Benefits
- general office equipment, including personal computer, telephone, photocopier, fax, etc.
- Windows-based PC systems, including Microsoft Word, Excel, and Outlook
Ability to:
- understand current software programs and screens that are required in the daily processing of claims
- keep current on claims processing practices and procedures
Education and Experience:
- High school diploma or equivalent and two years (or an Associate’s degree and a minimum of one/two years) of relevant experience with claims processing in an automated claim environment; or a combination of education and relevant experience may be qualifying

OTHER INFORMATION

We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed).

The full compensation range for this position is listed by location below.

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Compensation Range

$25—$27 USD

OUR BENEFITS

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

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 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

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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Cover Letter

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Are you a current or former employee of any of the following state agencies? Department of Health Care Services (DHCS), California Department of Social Services (DSS), or Department of Managed Health Care (DMHC)? If yes, please select below. *

  No
  Yes - Department of Health Care Services (DHCS)
  Yes - California Department of Social Services (DSS)
  Yes - Department of Managed Health Care (DMHC)

This is a temporary position, what interests you in this assignment at this time? *

Do you have a private space that you can work from home with a secure internet connection? If not, would you be interested in working from one of our offices in Merced, Monterey or Santa Cruz? *

Will you now or in the future require sponsorship for employment visa status? *

This position requires a valid Driver's License, transportation, and automobile liability insurance. Do you meet this requirement? *

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.) *

Current Address *

Current City *

Current State *

Current Zip Code *

Current County *

Are you interested in being contacted about temporary assignments or positions at the Alliance in the future? *

Let us know if you would like to be contacted about additional temporary opportunities in the future by selecting 'yes' below.

Are you related to a current Alliance Employee? *

If you are related to a current Alliance Employee, please list their name:

Are you bilingual in English/Spanish? *

Are you bilingual in English/Hmong? *

Are you a former Alliance employee?

Are you a current temporary employee on an assignment at the Alliance?

Are you a former temporary employee who has been on an assignment at the Alliance?

I acknowledge the following questions are related to our Employee Recruitment Incentive Program *

Did one of our current employees tell you about the Alliance and/or this position? *

If yes, you must enter their name in order for them to qualify. Please enter their name here: *

I hereby certify that the facts and information set forth in my application and resume are true and complete. I authorize Central California Alliance for Health and its agents to investigate any and all of the statements that I have made. I understand that if I supply false or misleading information on my application or resume I may not be considered for employment. I also understand that if I become employed, false statements on this application or resume, or omissions of information may result in my termination. *

My typed name shall have the same force and effect as my written signature.

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Temporary Claims Technician II

OUR BENEFITS

ABOUT US

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