Top 1292 Program supervisor 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
Online Order Filling Team Supervisor
Walmart —Napa, CA
- $22 - $35 an hour
- Full-time
- High school
- Mid-level
- Paid jury duty
- Disability insurance
Veterans Service Representative I
County of Contra Costa, California —Martinez, CA
- $76,344.71 - $92,797.46 a year
- Full-time
- Office
- Analysis skills
- Bachelor's degree
4d
Inventory Control Technician Lead, Surgery Center
Sutter Health —Fairfield, CA
- $35.55 - $49.77 an hour
- 8 hour shift
- Microsoft Outlook
- Computer literacy
- Writing skills
4d
Crisis Program Supervisor
Pacific Clinics —Fairfield, CA
- $79,295 - $97,523 a year
- On call
- LMFT
- CPR Certification
- Bachelor of Science
- 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
Operations Supervisor
Waste Connections —Saint Helena, CA
- $90,000 - $100,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
Provider Services Manager
Solano Family & Children's Services —Fairfield, CA
- $140,072.92 - $171,200.23 a year
- Weekends as needed
- Office
- 3 years
- Bachelor's degree
- 403(b) matching
- AD&D insurance
Quick Apply
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
CASE MANAGER
The GEO Group —Napa, CA
- $30 an hour
- Overtime
- Spanish
- Computer literacy
- Basic math
- Paid training
- Health savings account
Development Services Technician I/II
City of Benicia, CA —Benicia, CA
- $58,872.00 - $78,716.64 a year
- Online Application
- Pass drug screening
- English
- Office
6d
Service Coordinator (VYG) Young Children
North Bay Regional Center —Napa, CA
- $62,244 - $68,652 a year
- Full-time
- Hybrid work
- Nursing
- Mid-level
- Office
- Paid holidays
- Health insurance
9d
General Manager - Napa
We Ship Express, INC. —Napa, CA
- $120,000 - $160,000 a year
- Full-time
- 5 years
- Analysis skills
- Senior level
- Health savings account
- AD&D insurance
Supervisor Patient Access - ER Registration
Providence —Santa Rosa, CA
- $33.23 - $50.84 an hour
- 8 hour shift
- Acute care
- Mid-level
- 3 years
- Paid parental leave
- Paid holidays
TRANSITIONAL CASE MANAGER
The GEO Group —Napa, CA
- $30 an hour
- Overtime
- Spanish
- Computer literacy
- Basic math
- Paid training
- Health savings account
Middle School Volleyball Coach
Mark Day School —San Rafael, CA
- $30 - $60 an hour
- Temporary
- School experience
- Mid-level
- In-person
Quick Apply
Occupational Therapist
Park View Post Acute —Santa Rosa, CA
- $58 - $67 an hour
- Full-time
- CPR Certification
- Skilled nursing facility
- BLS Certification
- Continuing education credits
- Health savings account
Quick Apply
CNA - Certified Nursing Assistant
Park View Post Acute —Santa Rosa, CA
- $22 - $25 an hour
- Extended hours
- CPR Certification
- Skilled nursing facility
- Nursing home
- Paid training
- Continuing education credits
Quick Apply
Director of Nursing
Park View Post Acute —Santa Rosa, CA
- $150,000 - $250,000 a year
- Full-time
- Background check
- Skilled nursing facility
- RN License
- Health savings account
- Health insurance
Quick Apply
FIELD ARCHAEOLOGISTS - (Central California)
SummitWest Environmental —California
- $27 - $32 an hour
- Part-time
- Microsoft Word
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply

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program supervisor jobs near napa, ca

Claims Customer Service Representative I

Partnership HealthPlan of California -
Fairfield, CA

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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.

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Refine Your Search

program supervisor jobs in napa, ca

Claims Customer Service Representative I

Online Order Filling Team Supervisor

Veterans Service Representative I

Inventory Control Technician Lead, Surgery Center

Crisis Program Supervisor

Health Care Guide I

Operations Supervisor

Provider Services Manager

Access Representative I - Napa

CASE MANAGER

Development Services Technician I/II

Service Coordinator (VYG) Young Children

General Manager - Napa

Supervisor Patient Access - ER Registration

TRANSITIONAL CASE MANAGER

Middle School Volleyball Coach

Occupational Therapist

CNA - Certified Nursing Assistant

Director of Nursing

FIELD ARCHAEOLOGISTS - (Central California)

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