What are the responsibilities and job description for the Temporary Provider Dispute Coordinator II position at Central California Alliance for Health?
Temporary Provider Dispute Coordinator II
Location : Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California
Accepting applications through Wednesday, February 12, 2025 by 5 : 00pm.
ABOUT THIS TEMP POSITION
This is a temporary position and the length of assignment is estimated to go from February 2025 through December 2025 . The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Claims Quality Supervisor, this position :
- Coordinates and responds to moderate complexity level one inquiries in the Provider Dispute process
- Assists with the coordination and completion of low to moderate complexity level two Provider Dispute cases
- Performs administrative duties in support of the Claims Quality unit and related functions
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here .
Healthcare coverage and benefit structures, principles of coordination on benefits and medical billing
Audit information and data, identify anomalies and make recommendations for correction
High school diploma or equivalent
OTHER INFORMATION
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Zone 1 (Monterey, San Benito and Santa Cruz)
27.21 - $35.37 USD
Zone 2 (Mariposa and Merced)
24.76 - $32.19 USD
OUR BENEFITS
Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet .
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
Salary : $25 - $32
