Top 1100 Business services representative Jobs in Pittsburg 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
Clerk
Partnership HealthPlan of California —Fairfield, CA
- $25.87 - $30.40 an hour
- Full-time
- Word processing
- Office
- High school diploma or GED
Outside Sales Representative - Lumber & Building Materials
Big Creek Lumber Company —Vallejo, CA
- From $6,000 a month
- Full-time
- Spanish
- Clean driving record
- Construction site
- 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
Account Manager - Event Production Company
Desired Effect —Pleasant Hill, CA
- $26 - $30 an hour
- Weekends as needed
- Background check
- Google Workspace
- Marketing
- Health insurance
- Dental insurance
Quick Apply
Business Development Representative (B2B Sales)
Grepow, Inc. —Livermore, CA
- $65,000 - $80,000 a year
- Full-time
- Mid-level
- Office
- Business development
- Health insurance
- Dental insurance
Quick Apply
Lead Mitigation Technician
Kustom US, Inc —Fairfield, CA
- $28 - $32 an hour
- Weekends as needed
- OSHA
- Construction site
- Customer service
- Health insurance
- Dental insurance
Quick Apply
6d
Compliance Investigator II
Partnership HealthPlan of California —Fairfield, CA
- $96,970.04 - $121,212.56 a year
- Full-time
- Microsoft Excel
- HIPAA
- Office
Russian-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- $21.65 an hour
- Full-time
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
Outside Sales Representative
Power Plus —Benicia, CA
- $75,000 - $200,000 a year
- Full-time
- Pass drug screening
- Mid-level
- Business development
- Fuel card
- Health insurance
Quick Apply
Sales Representative - Outside Construction
Straight Line Roofing and Construction, LLC —Concord, CA
- $60,000 - $200,000 a year
- Full-time
- Background check
- Clean driving record
- Microsoft Excel
- Paid training
- Health insurance
Quick Apply
Outside Sales - Permanent Outdoor Lighting
LumaGlow Lighting —Concord, CA
- $70,000 - $135,000 a year
- Weekends as needed
- CRM software
- Background check
- Sales
Quick Apply
Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- $22.65 an hour
- Full-time
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
Cantonese-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- $22.65 an hour
- Full-time
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
Payment Analyst - Subsidized Child Care
CocoKids —Concord, CA
- $29.84 an hour
- 8 hour shift
- Hybrid work
- Microsoft Word
- Spanish
- Microsoft Outlook
- Disability insurance
- Health insurance
Quick Apply
Counter Sales hose tech
Tri Valley Hose Inc —Livermore, CA
- $19 - $25 an hour
- 8 hour shift
- Inventory control
- Inventory management
- Customer service
- Health insurance
- 401(k)
Quick Apply
HR Generalist
Preview Casino —Vallejo, CA
- Full-time
- Background check
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Director of Purchasing and Inventory Control
Blue Mountain Construction Services —Vacaville, CA
- $115,000 - $145,000 a year
- Overtime
- 7 years
- ERP systems
- Office
- Paid holidays
- Health insurance
Quick Apply
Accounting Clerk, Lafayette Park hotel & Spa
LAFAYETTE PARK HOTEL & SPA —Lafayette, CA
- $21 - $23 an hour
- Full-time
- Background check
- Microsoft Office
- Hotel
- Health insurance
- Dental insurance
Quick Apply
7d

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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

business services representative jobs in pittsburg ca

Claims Customer Service Representative I

Customer Service Representative, CC

Clerk

Outside Sales Representative - Lumber & Building Materials

School-Based Clinician - Solano

Account Manager - Event Production Company

Business Development Representative (B2B Sales)

Lead Mitigation Technician

Compliance Investigator II

Russian-English Bilingual Healthcare Customer Service Representative - Remote in California

Outside Sales Representative

Sales Representative - Outside Construction

Outside Sales - Permanent Outdoor Lighting

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California

Cantonese-English Bilingual Healthcare Customer Service Representative - Remote in California

Payment Analyst - Subsidized Child Care

Counter Sales hose tech

HR Generalist

Director of Purchasing and Inventory Control

Accounting Clerk, Lafayette Park hotel & Spa

I want to receive the latest job alert for business services representative in pittsburg ca

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