Claims Training Specialist

Partnership HealthPlan of California; Fairfield (CA); On-site; USD 44,785 - 53,740; Full time

Job summary

A California-based health plan is seeking a Claims Training Specialist to train staff on claims processing across various business lines. Candidates must have at least two years of claims examining experience and familiarity with Medi-Cal claims. Strong communication skills and organizational abilities are essential for managing training materials and providing feedback on staff performance. The hiring range is between $32.51 - $39.01 per hour, with opportunities for career growth within the organization.

Qualifications

• Familiar with claims examining requirements.
• Valid California driver’s license required.
• Current automobile insurance compliant with Partnership policy.

Responsibilities

• Train staff on all claim types.
• Create and maintain training materials.
• Provide feedback on training needs.
• Maintain current knowledge of claims policy.

Skills

Medi-Cal and/or managed care claims processing

CPT, HCPC procedure coding

ICD-9/ICD-10 diagnostic coding

Typing speed 30 wpm

Proficient use of 10-key calculator

Excellent oral and written communication

Organizational skills

Education

Minimum two years of claims examining experience

Completion of Partnership Claims training

Tools

AMISYS or similar claims systems

Job description

A California-based health plan is seeking a Claims Training Specialist to train staff on claims processing across various business lines. Candidates must have at least two years of claims examining experience and familiarity with Medi-Cal claims. Strong communication skills and organizational abilities are essential for managing training materials and providing feedback on staff performance. The hiring range is between $32.51 - $39.01 per hour, with opportunities for career growth within the organization.