Combining resources and healthcare for a more accessible pathway to well-being.
Pacific Health Group is at the forefront of revolutionizing health and wellness.
We’re setting new benchmarks in the health care sector, leading with groundbreaking approaches and innovative solutions. Our commitment is unwavering: to empower our members to take control of their health, sparking a positive domino effect that uplifts families and communities alike.
The heart of Pacific Health Group lies in our vibrant work culture. It’s an environment brimming with pride, passion, and a unified goal to make a tangible impact on people’s lives. Our team is a melting pot of ingenious problem-solvers, each contributing unique insights and solutions. We thrive on collaboration and support, unlocking our collective potential to deliver unparalleled care to our members.
Joining Pacific Health Group isn’t just a career move – it’s a chance to be part of a bold and progressive movement. We champion continuous personal and professional development, offering access to industry mavens, state-of-the-art technologies, and a nurturing community that appreciates every contribution. Embark on this exciting journey with us, where your work doesn’t just advance your career but also plays a crucial role in transforming lives and communities with zeal and purpose. Prepare to make a difference!
Responsibilities:
- Ensure verification of patient information, insurance details, and confirmation of coverage.
- Assign appropriate medical codes and maintain compliance with reimbursement guidelines.
- Accurately submit insurance claims and adhere strictly to fee schedules.
- Gain a comprehensive understanding and review of contracts between healthcare providers and insurers.
- Develop familiarity with fee schedules to ensure correct application to billed procedures.
- Engage in effective communication with healthcare providers to resolve queries and discrepancies.
- Align billing practices with the terms of contractual agreements.
- Stay vigilant to changes in contracts and modify billing procedures as required.
- Manage and address appeals for claims that are denied when necessary.
- Conduct regular training sessions for staff on updates related to contract procedures and fee schedule changes.
Qualifications:
- Possessing 1-3 years of experience in medical coding.
- Well-versed in healthcare privacy laws and compliance regulations.
- Proficiency in using Excel, PivotTables, and Power BI.
- Skilled in retrieving electronic remittances from third-party clearinghouses.
- Exceptional attention to detail and strong organizational capabilities.
- Demonstrated proficiency in communication and problem-solving skills.
Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws.
At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone’s contributions are valued and respected.
Pre-Employment:
Pacific Health Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
Benefits:
As a valued full-time member of our team, you’ll gain access to a comprehensive benefits package after just 60 days of employment, designed to support both your personal and professional life:
- Comprehensive Health Coverage: Choose from a variety of medical, dental, and vision insurance plans tailored for you and your family’s needs.
- Disability Insurance: Secure your peace of mind with both short-term and long-term disability benefits, ensuring protection when it’s most crucial.
- Flexible Spending Accounts (FSA): Enjoy greater control over your finances and health expenses with our flexible spending options.
- Employee Assistance Program (EAP): We’re here for you in challenging times, offering support and resources through our Employee Assistance Program.
- Future Financial Security with 401(K): Start building a robust financial future after 1 year of employment with our 401(K) plans.
- Paid Time Off: Relish in the balance of work and life with our paid vacation and sick leave policies, catering to both your planned and unforeseen needs.
- Celebratory Paid Holidays: Enjoy the important moments and celebrations with paid holidays.
- Employee Referral Program: Enhance our team and earn rewards by participating in our Employee Referral Program.
- Exclusive Company Discounts: Benefit from significant savings on everyday expenses and memberships, exclusively for our team members.
Job Type: Full-time
Salary: $18.00 – $24.00 per hour
Expected hours: 40 per week
Medical specialties: Primary Care
Schedule: 8 hour shift
Day shift
Monday to Friday
Join us and experience the rewards and security that come with being a part of our dedicated team!
Your healthcare partner through the journey of wellness
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