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Company:
HealthCHEC
Posted: July 2, 2024
SCAN Temp- Department Assistant
Full-Time
Mostly Onsite
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States.
SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada.
SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare.
SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere.
Employees are provided with in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities.
SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts.
If you are interested in becoming part of an organization that is innovating senior healthcare visit thescangroup.org, ***, or follow us on LinkedIn, Facebook, and Twitter.
The job
This position supports the efficiency and compliance of the Enrollment Reconciliation, Premium Billing, Claims, Grievance and Appeals (GAD) Departments.
Ensures compliance with Health Insurance and Accountability Act (HIPAA) laws by securing Protected Health Information (PHI) and Payment Card Information (PCI) by securing protected information in accordance with regulatory guidance and internal policy and procedure.
You will
An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team!Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world.
Each of us has a responsibility to drive Equality in our communities and workplaces.
We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace.
Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law.
A background check is required.
#LI-JR1
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
41 CFR 60-1.35(c)
Full-Time
Mostly Onsite
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States.
SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada.
SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare.
SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere.
Employees are provided with in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities.
SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts.
If you are interested in becoming part of an organization that is innovating senior healthcare visit thescangroup.org, ***, or follow us on LinkedIn, Facebook, and Twitter.
The job
This position supports the efficiency and compliance of the Enrollment Reconciliation, Premium Billing, Claims, Grievance and Appeals (GAD) Departments.
Ensures compliance with Health Insurance and Accountability Act (HIPAA) laws by securing Protected Health Information (PHI) and Payment Card Information (PCI) by securing protected information in accordance with regulatory guidance and internal policy and procedure.
You will
- Ensures processes meet or exceed regulatory requirements by reading and understanding issued guidance and internal policies and procedures.
- Ensures accurate and timely delivery of incoming and outgoing communications by processing internal and external mail (standard or electronic) upon receipt and facilitating delivery to the appropriate recipient.
- Research new membership identification (ID) card mail that is returned as undeliverable, and processed in accordance with regulatory guidance and internal policy and procedures.
- Including securing PCI and facilitating the delivery live checks, such as but not limited to premium payments, claim payments to foreign providers, returned check payments and invoices.
- Ensures the security of protected information by routinely removing protected information from common areas such as printers and fax machines and delivering to the appropriate person/location throughout the business day and ensuring that recycle bins are emptied and the materials placed in secured recycle stations daily.
- Contributes to the department efficiency by managing the materials and fulfillment processes (for internal/external customers and department staff).
Make copies, send faxes or other standard/electronic communications, collate materials, and deliver/pick up items, as needed. - Supports department compliance by maintaining logs for various tasks/responsibilities, running, and distributing routine and/or ad hoc reports.
- Scans, indexes and maintains storage of all membership correspondence and documentation in accordance of federal regulation under the Health Insurance Probability and Accountability Act (HIPPA) of retention and disposal of member records.
- Contributes to team effort by accomplishing related results as needed in assisting in other departments such as Claims and GAD clerical processes and functions, as assigned.
Including but not limited to the uploading of medical records to CD's and the mailing office supplies to the staff . - Performing some occasional cleaning duties as needed to ensure the convenience copiers, printers, and fax machines are kept neat and well stocked with paper including clearing our paper jams.
- Actively support the achievement of SCAN's Vision and Goals.
- Other duties as assigned.
- Preferred, but not required:
G.E.D/High School Diploma - Clerical experience and ability to use printer, copier and fax machine preferred.
- Accurate type and 10-key skills preferred.
- Approved access to CMS MARx eligibility system is required.
- Effective, respectful and courteous communication with internal and external clients
- General knowledge of facilities and office services.
- Ability to multi-task and prioritizing projects and deadlines.
- Ability to work in a fast paced environment and build relationships.
- Base Salary range:
$ - Robust Wellness Program
- Excellent 401(k) Retirement Saving Plan with employer match.
- Robust employee recognition program
- A work-life balance
An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team!Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world.
Each of us has a responsibility to drive Equality in our communities and workplaces.
We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace.
Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law.
A background check is required.
#LI-JR1
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
41 CFR 60-1.35(c)
Read the full job description and apply online on the recuiter's web-site
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