7 jobs found

Summary Description Encounters data is essential for monitoring and measuring managed care quality, finance, utilization and compliancy with state and contractual requirements. It is a critical source of information for rate setting, HEDIS score and risk adjustment. The Encounter team is responsible for receiving, capturing, validating, tracking submission, reconciling response files and error correcting rejections of encounters data rendered to members. The Claims Processor will be supporting with reviewing, logging, batching, creating and issuing Claims Acknowledgement letters and Return to Provider letters, processing of claims, along with handling providers inquiry to claims payment. Key Tasks and Responsibilities • Review for accuracy and completeness of inbound claims. • Verify member eligibility. • Validate calculation of the reimbursable amount. • Create an Excel spreadsheet with necessary data items that serves as upload for payment from Finance. • Update Itineris with necessary member, rates and provider data. • Approve claims that are complete, eligible and accurate data elements. • Reject claims that are incomplete, inconsistent data elements or duplicates. • Print and mail Claims Acknowledgement letter to providers. • Print and mail return letter to providers with rejection reason. • Manage and respond to provider inquiries regarding claims status and payment by researching system for claims history. • Identify issues, report to Director and propose solution. Education & Training • Required: High School Diploma or GED • Preferred: Medical claims processing and billing Knowledge and Experience • Knowledge of CMS 1500 forms and fields. • Knowledge of required transportation HCPCS codes, modifiers, provider Medicaid ID, TIN and NPI. • Knowledge of state Medicare and Medicaid program guidelines and requirements. • Strong understand of Itineris and Excel software. • Strong data entry skills. • Excellent customer Service. Core Competencies • Strong organizational skills • Ability to communicate efficiently with multiple areas of the organization • Strong written and verbal communication skills • Track claims, payment and rejections • Ability to multi-task with frequent interruptions • Exceptional attention to detail and accuracy • identify missing or invalid claims data • Abide to deadlines Working Conditions • This is a Full time hourly position. • Benefits after 60 days include medical, dental, vision, voluntary life and 401(k). • No travel is required. Physical Requirements  • This position requires working on a sitting position working on a computer and operating a keyboard and a mouse as well as other office equipment like phones and printers and filing documents.

Secure Transportation, leader in the non-emergency medical transportation industry, with 30+ years providing excellent services, is hiring drivers with Class C for its Garden Grove operation. Summary Description Drivers should be courteous and friendly and be able to deliver excellent customer service. Drivers must provide a current K4 DMV printout when applying (Valid 30 days from application), must pass a pre-employment drug screen test, pass DOJ/FBI background check, pass physical exam, as well as pass DL51 (DOT Medical). Applicants available work hours must be flexible. Key Tasks and Responsibilities Drivers are responsible for pre-inspection check on all vehicles driving; assisting clients with a “through the door” service; making sure all wheelchairs or any other devices are tied down properly; drive clients to and from destinations in a safe manner; must be able to communicate with clients, dispatchers, and supervisors regarding concerns and/or issues. Education & Training High school graduate or GED equivalent is preferred but not required. Valid driver’s license, Class C or commercial driver’s license Class A or B with passenger endorsement. Valid CPR/First Aid card is preferred but not required. Knowledge and Experience Experienced driving corporate clients and paratransit vehicles are a plus. Must have a driver’s license for at least five (5) years. No more than one (1) moving violation or one (1) at fault accident in the last three (3) years. Applicants must be familiar with using cellular phones, and navigating around areas using a GPS. Core Competencies Ideal candidates should be self-motivated and responsible, have good communication skills, positive attitude and willing to go the extra mile. Working Conditions Drivers must be able to work in a fast pace environment. Must be able to assist clients getting in and out of the vehicle, as well as assist in transferring clients in and out of wheelchairs. We offer a comprehensive benefit packet that includes vacation, sick, holiday pay, health, dental, vision, life, and 401k for full time employees. Physical Requirements Driver must be able to past the physical. Lift to 100 LBS, push and pull up to 200 LBS, bend from the waist, pivot from waist, be able to move from a standing position to kneeling position back to standing. Driver must be able to pass the DL51 (DOT Medical) and maintain it. Secure Transportation is an Equal Opportunity and Affirmative Action employer.

Summary Description Drivers should be courteous, friendly and be able to deliver excellent customer service to passengers. Drivers must assist passengers getting in and out of the vehicle, and load and unload passengers in wheelchairs. Drivers must transport passengers to and from their destinations in a safe manner. Key Tasks and Responsibilities Drivers must perform: a pre-trip vehicle inspection on all vehicles assigned for the shift; perform a pre-trip inspection on all equipment such as wheelchair tie-down equipment, vehicle hydraulic wheelchair lift, and others. Ensure all safety regulations and precautions are followed as required by Federal safety regulations as well as company safety policies and procedures. Communicate with local management team, passengers, company dispatch regarding operational issues or concerns. Prepare and submit daily driver’s log(s) and vehicle inspection report(s) at end of their shift. Education & Training High school graduate or GED equivalent is preferred but not required. A valid driver’s license Class C required. A valid CPR/First Aid card is required. The company will provide CPR/First Aid training certification, if necessary. Drivers must provide a current DMV Driving History report printout with application, driving record must be current and valid no more than 30 days from the date of the application. Knowledge and Experience Experience driving vehicle(s) and driving passengers with special needs are a plus. Must have a driver’s license for at least five (5) years. No more than one (1) moving violation or one (1) ‘at fault’ accident in the last three (3) years. Applicants must be familiar with using mobile phones, a GPS/Navigation app in a mobile phone, and familiarity with the general area assigned. Core Competencies Ideal candidates should be prompt, self-motivated and responsible. They must have good communication skills and a positive attitude. They must be willing to go the extra mile in providing excellent customer service with safety at the core. Working Conditions Drivers must be able to work in a fast pace environment. Shifts are daily including weekends, work hours vary. Applicants must pass a pre-employment drug and alcohol screening test. Applicants must pass a DOJ and/or FBI background check and company training. Full time employees are eligible for a comprehensive benefit package that includes vacation, sick pay, holiday pay, medical, dental, vision, and 401k. Physical Requirements Driver must be able to pass a DOT physical exam, including but not limited to: lift up to 100 LBS, push and pull up to 200 LBS. Must be able to bend and pivot from waist, and be able to move from a standing position to kneeling position and back to standing. California: Driver must be able to pass the DL51 (DOT Medical). Secure Transportation is an EEO/AAP Employer.

Secure Transportation, leader in the non-emergency medical transportation industry, with 30+ years providing excellent services, is hiring drivers with Class A/B drivers with passenger endorsement and Class C for its Whittier and Garden Grove operations. Summary Description Drivers should be courteous and friendly and be able to deliver excellent customer service. Drivers must provide a current H6 DMV printout when applying (Valid 30 days from application), must pass a pre-employment drug screen test, pass DOJ/FBI background check, pass physical exam, as well as pass DL51 (DOT Medical). Applicants available work hours must be flexible, part time to start with the opportunity for full time status. Key Tasks and Responsibilities Drivers are responsible for pre-inspection check on all vehicles driving; assisting clients with a “through the door” service; making sure all wheelchairs or any other devices are tied down properly; drive clients to and from destinations in a safe manner; must be able to communicate with clients, dispatchers, and supervisors regarding concerns and/or issues. Education & Training High school graduate or GED equivalent is preferred but not required. Valid driver’s license, Class C or commercial driver’s license Class A or B with passenger endorsement. Valid CPR/First Aid card is preferred but not required. Knowledge and Experience Experienced driving corporate clients and paratransit vehicles are a plus. Must have a driver’s license for at least five (5) years. No more than one (1) moving violation or one (1) at fault accident in the last three (3) years. Applicants must be familiar with using cellular phones, and navigating around areas using a GPS. Core Competencies Ideal candidates should be self-motivated and responsible, have good communication skills, positive attitude and willing to go the extra mile. Working Conditions Drivers must be able to work in a fast pace environment. Must be able to assist clients getting in and out of the vehicle, as well as assist in transferring clients in and out of wheelchairs. We offer a comprehensive benefit packet that includes vacation, sick, holiday pay, health, dental, vision, life, and 401k for full time employees. Physical Requirements Driver must be able to past the physical. Lift to 100 LBS, push and pull up to 200 LBS, bend from the waist, pivot from waist, be able to move from a standing position to kneeling position back to standing. Driver must be able to pass the DL51 (DOT Medical) and maintain it. Secure Transportation is an Equal Opportunity and Affirmative Action employer.

Summary Description: Drivers should be courteous, friendly and be able to deliver excellent customer service to passengers. Drivers must assist passengers getting in and out of the vehicle, and load and unload passengers in wheelchairs. Drivers must transport passengers to and from their destinations in a safe manner. Key Tasks and Responsibilities: Drivers must perform: a pre-trip vehicle inspection on all vehicles assigned for the shift; perform a pre-trip inspection on all equipment such as wheelchair tie-down equipment, vehicle hydraulic wheelchair lift, and others. Ensure all safety regulations and precautions are followed as required by Federal safety regulations as well as company safety policies and procedures. Communicate with local management team, passengers, company dispatch regarding operational issues or concerns. Prepare and submit daily driver’s log(s) and vehicle inspection report(s) at end of their shift. Education & Training: High school graduate or GED equivalent is preferred but not required. A valid driver’s license Class C required. A valid CPR/First Aid card is required. The company will provide CPR/First Aid training certification, if necessary. Drivers must provide a current DMV Driving History report printout with application, driving record must be current and valid no more than 30 days from the date of the application. Knowledge and Experience: Experience driving vehicle(s) and driving passengers with special needs are a plus. Must have a driver’s license for at least five (5) years. No more than one (1) moving violation or one (1) ‘at fault’ accident in the last three (3) years. Applicants must be familiar with using mobile phones, a GPS/Navigation app in a mobile phone, and familiarity with the general area assigned. Core Competencies: Ideal candidates should be prompt, self-motivated and responsible. They must have good communication skills and a positive attitude. They must be willing to go the extra mile in providing excellent customer service with safety at the core. Working Conditions: Drivers must be able to work in a fast pace environment. Shifts are daily including weekends, work hours vary. Applicants must pass a pre-employment drug and alcohol screening test. Applicants must pass a DOJ and/or FBI background check and company training.<br>Full time employees are eligible for a comprehensive benefit package that includes vacation, sick pay, holiday pay, medical, dental, vision, and 401k. Physical Requirements: Driver must be able to pass a DOT physical exam, including but not limited to: lift up to 100 LBS, push and pull up to 200 LBS. Must be able to bend and pivot from waist, and be able to move from a standing position to kneeling position and back to standing. California: Driver must be able to pass the DL51 (DOT Medical). Secure Transportation is an EEO/ AAP employer.

Summary Description Drivers should be courteous, friendly and be able to deliver excellent customer service to passengers. Drivers must assist passengers getting in and out of the vehicle, and load and unload passengers in wheelchairs. Drivers must transport passengers to and from their destinations in a safe manner. Key Tasks and Responsibilities Drivers must perform: a pre-trip vehicle inspection on all vehicles assigned for the shift; perform a pre-trip inspection on all equipment such as wheelchair tie-down equipment, vehicle hydraulic wheelchair lift, and others. Ensure all safety regulations and precautions are followed as required by Federal safety regulations as well as company safety policies and procedures. Communicate with local management team, passengers, company dispatch regarding operational issues or concerns. Prepare and submit daily driver’s log(s) and vehicle inspection report(s) at end of their shift. Education & Training   High school graduate or GED equivalent is preferred but not required. A valid driver’s license Class C required. A valid CPR/First Aid card is required. The company will provide CPR/First Aid training certification, if necessary. Drivers must provide a current DMV Driving History report printout with application, driving record must be current and valid no more than 30 days from the date of the application. Knowledge and Experience Experience driving vehicle(s) and driving passengers with special needs are a plus. Must have a driver’s license for at least five (5) years. No more than one (1) moving violation or one (1) ‘at fault’ accident in the last three (3) years. Applicants must be familiar with using mobile phones, a GPS/Navigation app in a mobile phone, and familiarity with the general area assigned. Core Competencies Ideal candidates should be prompt, self-motivated and responsible. They must have good communication skills and a positive attitude. They must be willing to go the extra mile in providing excellent customer service with safety at the core. Working Conditions Drivers must be able to work in a fast pace environment. Shifts are daily including weekends, work hours vary. Applicants must pass a pre-employment drug and alcohol screening test. Applicants must pass a DOJ and/or FBI background check and company training. Full time employees are eligible for a comprehensive benefit package that includes vacation, sick pay, holiday pay, medical, dental, vision, and 401k. Physical Requirements Driver must be able to pass a DOT physical exam, including but not limited to: lift up to 100 LBS, push and pull up to 200 LBS. Must be able to bend and pivot from waist, and be able to move from a standing position to kneeling position and back to standing.   California: Driver must be able to pass the DL51 (DOT Medical). Secure Transportation is an EEO/AAP Employer