Top 1089 Member services representative Jobs in Redlands, Ca

DQA Representative
PRIORITY AMBULANCE CALIFORNIA LLC —Redlands, CA
- $25 - $35 an hour
- Nursing
- Customer service
- HIPAA
Per Diem Nurse
Building Bridges Foster Family Agency —San Bernardino, CA
- $105 - $120 a day
- Part-time
- Spanish
- Nursing
- LVN
Quick Apply
Supervisor, Transportation Network Management
Inland Empire Health Plan —Rancho Cucamonga, CA
- $80,059.20 - $106,059.20 a year
- Full-time
- Hybrid work
- Microsoft Word
- Mid-level
- Office
- Disability insurance
- Health insurance
Clinical Manager - RN (Per Diem)
Bear Valley Community Hospital —Big Bear Lake, CA
- $68.31 an hour
- 12 hour shift
- RN License
- PALS Certification
- Hospital
Quick Apply
CSR - Customer Service Representative plumbing dispatcher
FIRST CLASS PLUMBING AND ROOTER —Riverside, CA
- $18 - $35 an hour
- Part-time
- Customer service
- English
- Office
- 401(k)
- Paid time off
Quick Apply
11d
Science Adjunct Instructor
California Institute of Applied Technology —California
- $33 - $38 an hour
- Part-time
- Remote
- Microsoft Word
- 18 years or older
- Microsoft Excel
- Work from home
Entry Level Account Representative
Ascend Creative —Moreno Valley, CA
- $55,000 - $64,000 a year
- Full-time
- 18 years or older
- Marketing
- Public speaking
Quick Apply
9d
Director of Rehabilitation Senior Living
Reliant Rehabilitation —Rancho Cucamonga, CA
- $55 - $60 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Customer service
Regional Precious Metals Buyer & Sales Representative – California (Coins, Jewelry & Bullion)
PGS Gold & Coin —California
- $50,000 - $120,000 a year
- Full-time
- Background check
- Sales
- Customer service
- Profit sharing
- Paid training
Quick Apply
Frontier Customer Support Representative
Cresttech Partners —Moreno Valley, CA
- $58,000 - $62,000 a year
- Full-time
- Background check
- Residential
- Business development
- Professional development assistance
- Opportunities for advancement
Quick Apply
4d
AT&T Representative
SGV Connect —Fontana, CA
- $3,200 - $4,200 a month
- Full-time
- 18 years or older
- High school diploma or GED
- In-person
- 401(k)
Quick Apply
10d
Training Specialist - Hotel Administration
Yaamava Resort & Casino at San Manuel —Highland, CA
- Extended hours
- Classroom
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
7d
Customer Enrollment Representative
San Bernardino Event Solutions —Redlands, CA
- $950 - $1,450 a week
- Weekends as needed
- 18 years or older
- Marketing
- In-person
Quick Apply
3d
Director of Patient Care Services Designee
Loma Linda University Hospice —Riverside, CA
- $120,000 - $150,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
10d
DQA Representative
PRIORITY AMBULANCE CALIFORNIA LLC —Rancho Cucamonga, CA
- $25 - $35 an hour
- Nursing
- Customer service
- HIPAA
Outreach Service Coordinator I
Step Up On Second, INC., —San Bernardino, CA
- $25.48 - $26.44 an hour
- Full-time
- Hybrid work
- Background check
- Spanish
- Clean driving record
- 403(b) matching
- Paid holidays
Quick Apply
SCE Planning Project Manager
SummitWest Environmental —California
- $85,000 - $115,000 a year
- Full-time
- Remote
- Background check
- Management
- 5 years
- Paid training
- Health insurance
Quick Apply
1d
Customer Service Representative Bilingüal (english spanish)
Apoyo Financiero Inc. —San Bernardino, CA
- $19.00 - $20.50 an hour
- Full-time
- Spanish
- Computer literacy
- English
- Paid holidays
- Health insurance
Quick Apply
Sales Representative (Base + Uncapped Commission) - Media & Social Growth
Highshot Cinematics —Rancho Cucamonga, CA
- $676 - $1,000 a week
- Full-time
- Mid-level
- In-person
- 2 years
- Paid time off
- Cell phone reimbursement
Quick Apply
General Maintenance - Camp Oakes
YMCA of Greater Long Beach —Big Bear City, CA
- $20.50 - $22.50 an hour
- Full-time
- Background check
- CPR Certification
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
2d

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DQA Representative

PRIORITY AMBULANCE CALIFORNIA LLC
Redlands, CA

Apply Now

Job Details

$25 - $35 an hour

Qualifications

High school diploma or GED

Full Job Description

ROLE SUMMARY

The DQA Representative is responsible for ensuring that information and documentation required for proper billing of claims is obtained and presented for all billable events for an assigned area.

This is a Non-Exempt/Hourly position.

KEY RESPONSIBILITIES

Specific Duties:

Demonstrates knowledge, understanding and compliance of company policies and procedures.
Demonstrates knowledge and understanding of (and compliance with) Federal, State, and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
Demonstrates complete knowledge of proper billing, coding, and posting procedures.
Ensure security of buildings and all other company property.
Performs daily appropriate housekeeping duties.
Ability to work as a team member.
Complete and maintain appropriate training, certification, and licensure for their position.
Maintain a high level of customer service when dealing with patients, patient families, co-workers clients, other healthcare providers, and the general public.
Notify DQA Manager of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
Maintains security and privacy of all company and patient information at all times in accordance HIPPA and all other local, state, and federal regulations.
Is responsible for keeping billing and patient care records secure in accordance with proper HIPAA and document retention standards.
Reports to assigned shifts on time and properly groomed in appropriate business attire.
At all times sets an example of professionalism and places customer service, compliance, and safety above all else.
Notifies DQA Manager of any questions, concerns, or issues regarding billing, collections, or compliance matters.
Work closely with Operations and Dispatch Management and Personnel to ensure timely, accurate, and complete information and documentation is available to be submitted for proper billing services.
Thoroughly evaluate all documentation received from Operations Personnel (example PCRs, PCSs), Dispatch Personnel (example: CAD records, call types, priorities), and external customers (example: insurance and demographic information) and ensure any shortcomings or discrepancies are addressed prior to submitting documentation and information to the billing office. Should ensure that all items listed on the DQA Key Data Point Review Sheet are reviewed, present, and accurate prior to submission.
Timely process assigned work and appropriately forward information and documentation to the billing office using the assigned workflow options.
Perform other duties related to DQA or as assigned by management.

#IND1

QUALIFICATIONS

Education

High School Diploma or GED required.
Associate degree in EMS, Nursing, Healthcare Administration, Health Information Management, or related field preferred.

Experience

Minimum of two (2) years of EMS, healthcare documentation, clinical quality assurance, medical records review, ambulance billing support, or related experience preferred.
Current or previous EMT, AEMT, Paramedic, RN, or equivalent clinical experience preferred.
Experience with electronic patient care reporting systems preferred.

Knowledge, Skills, and Abilities

Knowledge of EMS documentation standards and patient care reporting requirements.
Knowledge of medical terminology.
Understanding of Medicare, Medicaid, and commercial insurance documentation requirements.
Understanding of HIPAA and patient privacy regulations.
Knowledge of state EMS regulations and applicable healthcare compliance requirements.
Strong analytical and critical thinking skills.
Excellent written and verbal communication skills.
Strong attention to detail and organizational skills.
Ability to manage multiple priorities and meet deadlines.
Proficiency with Microsoft Office Suite.
Ability to type a minimum of 40 WPM.
Ability to work independently and collaboratively within a team environment.

PHYSICAL REQUIREMENTS

The employee must be able to perform the essential functions of the position with or without reasonable accommodation.

The employee frequently:

Ability to sit for extended periods while working at a computer workstation.
Ability to use computers, keyboards, monitors, and standard office equipment.
Ability to communicate effectively in person, by telephone, and electronically.
Ability to occasionally lift and carry up to 25 pounds.

CORE COMPETENCIES

Attention to Detail
Accountability
Integrity and Confidentiality
Critical Thinking
Communication
Customer Service
Teamwork and Collaboration
Time Management
Problem Solving
Continuous Improvement
Adaptability
Professionalism

REPORTING RELATIONSHIP

Reports directly to the Document Quality Assurance Manager.

WORK ENVIRONMENT

Primarily office-based environment.
Frequent use of computers and electronic documentation systems.
Extended periods of sitting and computer work.
Occasional travel may be required for training, meetings, or operational support.
May be required to work flexible schedules based on operational needs.

Apply Now

Refine Your Search

member services representative jobs in redlands, ca

DQA Representative

Per Diem Nurse

Supervisor, Transportation Network Management

Clinical Manager - RN (Per Diem)

CSR - Customer Service Representative plumbing dispatcher

Science Adjunct Instructor

Entry Level Account Representative

Director of Rehabilitation Senior Living

Regional Precious Metals Buyer & Sales Representative – California (Coins, Jewelry & Bullion)

Frontier Customer Support Representative

AT&T Representative

Training Specialist - Hotel Administration

Customer Enrollment Representative

Director of Patient Care Services Designee

DQA Representative

Outreach Service Coordinator I

SCE Planning Project Manager

Customer Service Representative Bilingüal (english spanish)

Sales Representative (Base + Uncapped Commission) - Media & Social Growth

General Maintenance - Camp Oakes

I want to receive the latest job alert for member services representative in redlands, ca

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