Top 1141 Representative Jobs in Vacaville, 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 1
Recology —Vacaville, CA
- $29.18 an hour
- Monday to Friday
- Computer literacy
- Writing skills
- Office
- Wellness program
- Paid holidays
Customer Service Representative 1 - Bilingual
Recology —Vacaville, CA
- $30.18 an hour
- Monday to Friday
- Spanish
- Computer literacy
- Writing skills
- Wellness program
- Paid holidays
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
Call Center Representative I - Napa County
CommuniCare+OLE —Napa, CA
- $24.21 - $29.59 an hour
- Full-time
- Spanish
- English
- Microsoft Office
- 403(b) matching
- Health savings account
Quick Apply
Claims Examiner II
Partnership HealthPlan of California —Fairfield, CA
- $31.45 - $37.74 an hour
- Research
- Mid-level
- Office
Program Manager I
Partnership HealthPlan of California —Fairfield, CA
- $88,154.59 - $110,193.23 a year
- Microsoft Excel
- Microsoft Outlook
- Customer service
4d
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
3d
Behavioral Health Access Guide
Partnership HealthPlan of California —Fairfield, CA
- $63,206.33 - $75,847.59 a year
- Full-time
- Adults
- English
- Mid-level
Program Support Assistant
US Veterans Health Administration —Fairfield, CA
- $63,081 - $82,007 a year
- Weekends as needed
- Background check
- Microsoft Outlook
- Psychiatry
9d
Access Representative I - West Fairfield
CommuniCare+OLE —Fairfield, CA
- $24.21 - $29.59 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
- 403(b) matching
- Health savings account
Quick Apply
7d
Call Center Representative I
CommuniCare+OLE —Woodland, CA
- $24.21 - $29.59 an hour
- Full-time
- Spanish
- English
- Microsoft Office
- 403(b) matching
- Health savings account
Quick Apply
7d
Contact Center Representative - RETURNSHIP ELIGIBLE
Travis Credit Union —Vacaville, CA
- $19.98 - $29.01 an hour
- Hybrid work
- Spanish
- Microsoft Outlook
- English
- Health insurance
- Dental insurance
Configuration Quality Assurance Analyst I
Partnership HealthPlan of California —Fairfield, CA
- $77,430.47 - $96,788.08 a year
- Full-time
- Computer literacy
- Mid-level
- Office
Operations and Systems Tech II
Partnership HealthPlan of California —Fairfield, CA
- $36.00 - $45.01 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Research
Service Representative
Pacific Coast Companies, Inc. —Fairfield, CA
- $18 - $28 an hour
- Data entry
- Communication skills
- Entry level
- Profit sharing
- Health insurance
Machine Operator 1
MARIANI PACKING GROUP —Vacaville, CA
- $21.50 an hour
- Ability to walk for extended periods
- Ability to lift 50 pounds
- Communication skills
Admissions Representative
Milan Institute —Vacaville, CA
- $19.00 - $21.50 an hour
- Full-time
- Mid-level
- High school diploma or GED
- University
- Paid holidays
- Health insurance
Quick Apply
Distribution Clerk
Jelly Belly Candy Company —Fairfield, CA
- Overtime
- Basic math
- Office
- High school diploma or GED

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

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

representative jobs near vacaville, ca

Program Manager jobs in Fairfield, CA

Customer Service Representative jobs in Vacaville, CA

Program Assistant jobs in Fairfield, CA

Veteran Service Officer jobs in Martinez, CA

Executive Assistant jobs in Fairfield, CA

Patient Access Representative jobs in Fairfield, CA

Call Center Representative jobs in Vacaville, CA

Distribution Clerk jobs in Fairfield, CA

Behavioral Specialist jobs in Fairfield, CA

Machine Operator jobs in Vacaville, CA

Customer Service Representative jobs in Fairfield, CA

Program Manager jobs in California

Case Manager jobs in Oceanside, CA

Program Manager jobs in Jackson, MS

Office Manager jobs in Orange County, CA

Program Manager jobs in Herndon, VA

New Graduate Nurse Residency Program jobs in Westchester, NY

Program Manager jobs in Bronx, NY

Work From Home Customer Service jobs in West Palm Beach, FL

Pharmaceutical Sales Representative jobs in Louisiana

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

representative jobs in vacaville, ca

Claims Customer Service Representative I

Customer Service Representative 1

Customer Service Representative 1 - Bilingual

Claims Resolution Coordinator

Executive Assistant

Call Center Representative I - Napa County

Claims Examiner II

Program Manager I

Veterans Service Representative I

Behavioral Health Access Guide

Program Support Assistant

Access Representative I - West Fairfield

Call Center Representative I

Contact Center Representative - RETURNSHIP ELIGIBLE

Configuration Quality Assurance Analyst I

Operations and Systems Tech II

Service Representative

Machine Operator 1

Admissions Representative

Distribution Clerk

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

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected