Top 497 Client representative Jobs in Napa, Ca

Claims Customer Service Representative I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Computer literacy
- Research
- High school diploma or GED
Customer Service Representative, CC
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Spanish
- Mid-level
- Administrative experience
Access Representative I - Napa
CommuniCare+OLE —Napa, CA
- $24.21 - $29.59 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
- 403(b) matching
- Health savings account
Quick Apply
Clerk
Partnership HealthPlan of California —Fairfield, CA
- $25.87 - $30.40 an hour
- Full-time
- Word processing
- Office
- High school diploma or GED
Sky & Vine Greeter/Host
Napa LW —Napa, CA
- $17 - $18 an hour
- Part-time
- Bar
- Hotel
- Restaurant
- Free parking
- Paid holidays
Quick Apply
Coordinator I
Partnership HealthPlan of California —Fairfield, CA
- $28.52 - $33.51 an hour
- Full-time
- Spanish
- Microsoft Excel
- Computer literacy
Server/Dining Room AM
Napa LW —Napa, CA
- $16.90 - $17.00 an hour
- Part-time
- Hotel
- Restaurant
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
6d
RITUAL COFFEE PART-TIME BARISTA (NAPA)
Ritual Coffee Roasters Inc —Napa, CA
- $19.75 an hour
- 8 hour shift
- Customer service
- Basic math
- English
- Commuter assistance
- Paid holidays
3d
Customer Service Representative
Skyservice Business Aviation —Napa, CA
- Overtime
- 18 years or older
- Sales
- Computer literacy
- Health insurance
- Dental insurance
Health Care Guide I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Spanish
- Word processing
- Research
Transportation Specialist I - Sunday - Thursday 11:00am - 7:30pm
Partnership HealthPlan of California —Fairfield, CA
- $27.56 - $32.38 an hour
- Full-time
- Spanish
- Computer literacy
- Writing skills
7d
Claims Resolution Coordinator
Partnership HealthPlan of California —Fairfield, CA
- $37.22 - $46.53 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
Executive Assistant
Partnership HealthPlan of California —Fairfield, CA
- $88,154.59 - $110,193.23 a year
- Full-time
- Research
- Mid-level
- Office
Veterinary Receptionist / CSR ( 1 year exp req )
Cat Hospital of Petaluma —Petaluma, CA
- $21 - $23 an hour
- Full-time
- Background check
- Maintenance
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Family Specialist - Part Time
Parents in Training —Santa Rosa, CA
- From $25 an hour
- Part-time
- Background check
- Spanish
- High school diploma or GED
- Mileage reimbursement
- Tuition reimbursement
Quick Apply
Licensed Marriage and Family Therapist
Petaluma Health Center —Rohnert Park, CA
- $102,214 - $135,213 a year
- Full-time
- Microsoft Word
- LMFT
- Spanish
- Paid holidays
- Disability insurance
Quick Apply
Preschool Center Director
Child Start Inc. —Napa, CA
- $5,677.30 a month
- Full-time
- Spanish
- CPR Certification
- Clean driving record
- Health savings account
- Health insurance
Quick Apply
Leasing Associate (Minimum 3-years of Commercial Real Estate Experience Required)
STG Asset Management, Inc. —Petaluma, CA
- $71,000 - $73,000 a year
- Full-time
- Background check
- Word processing
- English
- Health insurance
- Dental insurance
Quick Apply
Refrigeration Sales Representative
Cold Temp Solutions —Martinez, CA
- From $80,000 a year
- Full-time
- Background check
- Clean driving record
- Sales
- Profit sharing
- Health insurance
Quick Apply
School-Based Clinician - Solano
A Better Way Inc —Fairfield, CA
- Full-time
- Background check
- School experience
- Spanish
- Paid holidays
Quick Apply

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Claims Customer Service Representative I

Partnership HealthPlan of California -
Fairfield, CA

Apply Now

Job Details

Full-time
$29.95 - $35.19 an hour

Qualifications

Customer communication
Computer literacy

Full Job Description

Overview:

To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis.

Responsibilities:

Responds to provider telephone inquiries, researches policy issues, and analyzes EOP's and claim history, recommends resolution to the issues, implements resolution once approved.
Researches and communicates outcome to providers of CIF's, claim tracers, and general claim correspondence within established time frames
Follows established Partnership policies and procedures, Partnership claims operating instruction memorandums, EDS provider manual guidelines, and Title 22 regulations when resolving claims and claim issues.
Participates in provider meetings to resolve claim issues.
Recognizes and gives feedback to management on procedure changes that would result in more efficient operations.
Records daily production statistics and related activities on appropriate reports; turns all logs and reports in to Claims Customer Service Supervisor.
Meets established production and call performance metrics as determined.
Participates in special projects and assignments as required.
Participates in resolution of CIFs as required.
Other duties as assigned.

Qualifications:

Education and Experience

High school diploma or equivalent; one (1) year of prior claims processing experience in an automated claim environment preferred; or equivalent combination of education and experience.

Special Skills, Licenses and Certifications

Knowledge of CPT, HCPC procedure coding, and ICD-10 diagnostic coding. Knowledge of medical terminology preferred. Ability to access coding reference guides for accurate information. Typing speed 30 wpm and proficient use of 10-key calculator.

Performance Based Competencies

Excellent written and oral communication skills. Ability to effectively exercise good judgment within scope of authority and handle sensitive issues with tact and diplomacy. Good organizational skills. Ability to accurately complete tasks within established time frames.

Work Environment And Physical Demands

Ability to use a computer keyboard. More than 80% of work time is spent in front of a computer monitor; when required, ability to move, carry, or lift objects of varying size weighing up to 25 lbs.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$ 29.95 - $ 35.19

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Apply Now

Refine Your Search

client representative jobs in napa, ca

Claims Customer Service Representative I

Customer Service Representative, CC

Access Representative I - Napa

Clerk

Sky & Vine Greeter/Host

Coordinator I

Server/Dining Room AM

RITUAL COFFEE PART-TIME BARISTA (NAPA)

Customer Service Representative

Health Care Guide I

Transportation Specialist I - Sunday - Thursday 11:00am - 7:30pm

Claims Resolution Coordinator

Executive Assistant

Veterinary Receptionist / CSR ( 1 year exp req )

Family Specialist - Part Time

Licensed Marriage and Family Therapist

Preschool Center Director

Leasing Associate (Minimum 3-years of Commercial Real Estate Experience Required)

Refrigeration Sales Representative

School-Based Clinician - Solano

I want to receive the latest job alert for client representative in napa, ca

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