MSO Claims Manager
North East Medical ServicesHighlight
Summary
About the Role
About You
- Bachelor's degree in business, healthcare administration, or related field preferred; Associate’s degree may be considered with relevant work experience.
- Minimum of 5 years in managed care claims and compliance field, with at least 3 years in a managerial role.
- Knowledge of Medi-Cal and MA claims processing, CMS and DHCS regulations.
- Certifications such as AAHAM, CPC, or other relevant claims-related certifications.
Benefits
- Competitive benefits including free medical, dental, and vision insurance for employee, spouse, and/or children.
- Company contribution to 401(k).
North East Medical Services (NEMS) is one of the largest community health centers in the United States targeting the medically underserved Asian population. Based in San Francisco, the non-profit community health center offers comprehensive health care services to a variety of patients, a majority of whom are uninsured or low-income. NEMS offers linguistically-competent and culturally-sensitive health care services in many languages and dialects, including Cantonese, Mandarin, Toishan, Vietnamese, Burmese, Korean, French, and Hindi. NEMS operates several clinics throughout the San Francisco Bay Area, spanning three counties. Our main clinic is located at 1520 Stockton Street in Chinatown/North Beach; with additional clinics in San Francisco's Portola, Visitacion Valley, Richmond, Tenderloin and Sunset districts; as well as Daly City and San Jose. NEMS employs over 700 health care and clinical support professionals and serves over 70,000 patients each year.