Gold Coast Health Plan
201 - 500 employees
Founded 2011
At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.
Senior Claims Operations Analyst – Encounters
Job not on LinkedIn
🔥 2 minutes ago
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Gold Coast Health Plan
201 - 500 employees
Founded 2011
At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.
📋 Description
• Serve as the technical subject matter expert for Encounter Operations • Monitor encounter production, submission, acceptance, rejection, timeliness, and data quality • Lead root cause analysis of encounter processing issues • Collaborate with claims operations, IT, vendors, and regulatory agencies • Prepare complex analyses, executive summaries, and reports
🎯 Requirements
• High School Graduate or GED • 5 years of experience in encounter operations or related field • Knowledge of Medi-Cal, Medicare, D-SNP programs, and managed care operations • Experience with healthcare claims processing, medical billing, and coding methodologies • Technical skills in MS Office products, advanced Excel
🏖️ Benefits
• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Professional development
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🇺🇸 United States – Remote
💵 $114.8k - $187.4k / year
💰 Post-IPO Equity on 2023-10
⏰ Full Time
🟠 Senior
🔴 Lead
⚙️ Operations
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