Job ID: J127868
Company: Gateway Health Plan
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Aug 8, 2018
This job assists in ensuring that services provided to health plan members and billed by providers to the health plan are submitted to respective State agencies and CMS accurately and timely. Supports initiatives to ensure accuracy of data with minimal errors to further ensure that health plan medical expense on file at respective State and CMS is complete and up to date. Assists in conducting root cause analysis and research of routine errors to generate corrections in a timely manner to provide an accurate picture of medical expense and avoid penalties from the State and/or CMS.
LICENSES AND CERTIFICATIONS
Language (Other than English)
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Does Not Apply
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
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