Offer summary
Qualifications:
High School degree or Associate preferred, Thorough understanding of ICD-9, CPT and HCPCS codes, Medicare & Medi-Cal fee schedules, medical terminology, SQL or programming language.Key responsabilities:
- Create and manage fee schedules, capitation agreements, and contract terms reconciliation
- Test claims compliance with contract terms
- Maintain fee schedules, capitated provider rates, and create pertinent reports