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Career Opportunities

 


SOUTHERN CALIFORNIA PHYSICIANS MANAGED CARE SERVICES
CURRENT CAREER OPENINGS (As of 06/07/2018)


Southern California Physicians Managed Care Services is San Diego's premier provider of medical administrative services including claims payment, contracting and utilization management.

Current Career Opportunities:

Southern California Physicians Managed Care Services has the following career opportunities available:

Revenue Recovery Analyst

Job Description: Revenue Recovery Analyst submits monthly stop loss and insured services. Audits stop loss/insured service payments and logs receipts. Follows up with health plans to ensure appropriate payment is received. Requests refunds from providers identified by the Provider Dispute Analyst. Retracts uncontested refunds from provider payments and posts into EZ CAP.
Skills/Requirements: This position requires a minimum 2 years of managed care experience in the area of claims payment and/or stop loss and insured services billing. Detail oriented, strong Microsoft Excel skills. Proficient in claims terminology, CPT, ICD-10 and HCPCS coding procedures. Must be a self- starter with the ability to work independently.
Pay Rate: Salary is based on qualifications and experience
Job Status: Full time - Four-Day 10 hour days, Monday - Thursday
Location: Mira Mesa, San Diego
Date Posted: 06/07/2018


Outpatient Case Manager, RN

Job Description: Outpatient Case Manager reviews contracted Medical Group’s authorization requests for medical necessity.
Skills/Requirements: This position requires prior experience in managed care or recent acute care. Computer proficient with MS Office. Other requirements include an active unrestricted California RN License.
Pay Rate: Salary is based on qualifications and experience
Job Status: Full time - Four-Day 10 hour days, Monday - Thursday
Location: Mira Mesa, San Diego
Date Posted: 06/07/2018


Utilization Management Representative

Job Description: The Utilization Management Representative performs data entry of referral requests; completes benefit and medical policies verification using on-line resources.
Skills/Requirements: This position requires knowledge of medical terminology, ICD-10 and CPT coding; and proficiency with computer programs (MS Office preferred).
Pay Rate: Salary is based on qualifications and experience
Job Status: Full time - Four-Day 10 hour days, Monday - Thursday
Location: Mira Mesa, San Diego
Date Posted: 06/07/2018