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Top Helathcare facility is hiring a Medical Claims Auditor to work onsite in Whittier, CA! POSITION SUMMARYThe Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. SPECIFIC SKILLS NEEDED -Knowledge of HMO/or IPA operations, Medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills; knowledge of system applications; ability to function effectively under time deadlines; strong organizational skills. Required:-Formal training will be indicated by a high school diploma or equivalent; four years medical claims processing. DUTIES AND RESPONSIBILITIES 1. Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies.2. Ensures a safe patient environment and adherence to safety practices per policy.3. With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care.4. Assist the Claims Director in the training and education of the Claims department staff5. Coordinate the generation and review of claims audit, status and pending claims reports ensuring authorized claims are paid in accordance with company guidelines6. Investigate, process and track payment adjustments including refunds, overpayments and underpayments7. Act as a confidential and professional resource for group providers and other staff.8. Act as a resource for providers, members, insurance carriers, attorneys and co-workers, researching and responding to questions in a timely manner9. Create, maintain and generate system reports10. Interface with the Claims Director to ensure claims processing functions meet legal and contractual requirements with regards to health plan audits11. Prepare and present weekly and monthly reports reflecting staff and departmental quality statistics12. Review and audit member liability denials and Provider Dispute Resolution claims to ensure compliance with regulatory requirements and passing audit scores from health plans13. Perform other duties as assigned 3 Month Contract to startStart/end time: 7:00 am to 3:30 pm Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Randstad is seeking a healthcare professional with experience in the below. • Minimum of two (2) year experience in front office/medical billing and/or current hospital registration/admitting • Minimum of two (2) year experience in insurance verification and/or medical/hospital billing. • High school graduate required or equivalent • Knowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC and Uncompensated Care Programs. IPA knowledge • Medical terminologysalary: $24.56 - $24.57 per hourshift: Firstwork hours: 5 PM - 1:30 AMeducation: High SchoolResponsibilities1. Safeguards and preserves the confidentiality of patient’s protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies. 2. Ensures a safe patient environment and adherence to safety practices per policy. 3. With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other as required. 4. Guest Relations: Exhibits positive guest relations skills by extending oneself and being hospitable to patients, physicians, coworkers, and visitors at all times. Warmly greets these by name and introduces self by name. Uses the phrase, "How can I help you?" as a first line of communication. Anticipates concerns and provides an explanation of the interview process. Utilizes translators if available or new translating system Stratus as necessary to ensure patient fully understands the information being discussed with them.SkillsProblem SolvingAnswering PhonesDecision MakingQualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

job summary: A Field Technician to join a leading manufacturing organization. In this role, you will be responsible for diagnosing, troubleshooting, and repairing complex electromechanical systems, including mechanical, electrical, optical, and software components. This position offers the opportunity to work remotely and travel within a 50-mile radius of Los Angeles, and to Las Vegas as needed. Based on the area of work, it would be best if candidates lived in the Orange County area. Candidates must be willing to train for the first three weeks in the Atlanta metro area. Qualified candidates should have at least one year of related experience and expertise in repairing mechanical and electrical system. Effective troubleshooting and problem-solving skills are essential, as is the ability to work independently and manage your workload effectively. Candidates can expect 50% travel outside of the LA area. Spanish fluency is highly desired, and candidate must be able to lift 75+ pounds.   location: Garden Grove, California job type: Permanent salary: $70,000 - 80,000 per year work hours: 8am to 4pm education: High School   responsibilities: Provide on-site, email, and telephone troubleshooting support for electromechanical systemsProactively monitor customer products using proprietary monitoring systemsRespond to situations where standard procedures fail, offering effective solutionsCommunicate clear and concise written instructions to customersCollaborate with the documentation team to write knowledge base articlesMaintain a professional and positive demeanor while managing multiple tasks   qualifications: Experience level: ExperiencedMinimum 3 years of experienceEducation: High School (required)  skills: Electronics TechnicianField ServiceTechnical Support Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.