Los Angeles, CA, US
27 days ago
Provider Services - Claims Processor

Crystal Stairs, Inc. \n

Improving the Lives of Families through\n

Child Care Services, Research, and Advocacy\n

Crystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations.\n
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Provider Services - Claims Processor\n

100% Onsite - Los Angles CA 90056\n

What We're Looking For:\n

We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities:\n\nProcess attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies.\nEffectively communicate with providers, parents, and CSI staff, as needed.\nAssist parents, providers, and staff in completing attendance records and\/ or provider payment requests by responding to incoming inquiries regarding payment or claims submission.\nCommunicate with case managers to resolve payment authorization issues on pending claims.\nContribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed.\nOther duties as assigned.\n\nEXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS:\n\nHigh School Diploma or GED Equivalent required. An AA\/AS Degree in Accounting, Business, or Human Services preferred\/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education\nMinimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred. \nExperience with child care providers and parents receiving subsidized child or social support services preferred.\nMust have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred. \nMust have strong customer service, organization, written and verbal communication skills. \nRequires excellent data entry and processing skills within a fast paced environment. \nRequires considerable accuracy, attention to details and ability to adhere to strict processing deadlines. \nMust be flexible and possess a strong ability to multi-task while working in a collaborative, team environment.\nMust have the ability to perform basic mathematical computations to verify and confirm payment calculations. \nMust have ability to work with diverse groups.\nMust have technical proficiencies working with Microsoft Excel and Microsoft Word\nAbility to understand and master complex program requirements and processes as they relate to provider payment\nAble to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and\nAble to work under pressure and with time-sensitive deadlines.\n\n
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Total Package of Benefits\n\nMedical\/ Dental\/ Vision - 95% paid by employer\n401k Matching Options\nFlex Spending \nPre-paid Legal Services\nSick and Vacation Time \nPaid Holidays and Winter Break\nOpportunity for Growth and Development\nRobust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM\n\n
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Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status.\n
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Additional Requirements: Must be fully vaccinated and remain fully vaccinated against COVID-19. Per the CDC, fully vaccinated means at least 2 weeks after (1) a second dose in a 2-dose series, or (2) a single-dose vaccine, and this status and definition applies to COVID-19 vaccines currently authorized for emergency use or approved by the U.S. Food and Drug Administration.\n
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For more information about Crystal Stairs, please visit our website at: www.crystalstairs.org

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