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Career Opportunities

 


SOUTHERN CALIFORNIA PHYSICIANS MANAGED CARE SERVICES
CURRENT CAREER OPENINGS (As of 01/31/2018)


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:

CERTIFIED CODER

Job Description: The Certified Coder will educate providers on improved coding, develop tools to improve coding accuracy, and audit records to ensure accurate documentation and coding.
Skills/Requirements: This position requires strong presentation skills and training/teaching experience. Minimum 3 years coding experience and knowledge of HCC and RADV audits a plus. Local travel is necessary.
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: 01/31/2018


CLIENT SERVICES REPRESENTATIVE

Job Description: The Client Services Representative provides internal and external clients with information related to managed care services; such as Utilization Management, Claims Processing, IPA Management, Eligibility and Contracting.
Skills/Requirements: This position requires two years experience in a health care setting. Additional requirements include claims/billing experience, knowledge of managed care, CPT, ICD-10 codes, and excellent verbal communication skills. Familiarity with Microsoft Office products. Bi-Lingual (English/Spanish) a plus.
Pay Rate: Salary is based on experience, qualifications and internal equity.
Job Status: Part-Time (9 a.m. – 4:00 p.m.), Monday - Thursday
Location: Mira Mesa, San Diego
Date Posted: 01/31/2018


Outpatient Case Manager

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: 01/31/2018


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: 01/31/2018