Payment Recovery Specialist jobs in Santa Cruz, CA

Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

M
Recovery Specialist II (On Call) - Behavioral Health 195
  • Main Template
  • Santa Cruz, CA PART_TIME
  • Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA , veterans, and all belief systems.  

    As part of the Telecare Family, the Santa Cruz County Psychiatric Health Facility (PHF) is a 16-bed locked acute psychiatric inpatient program for adults aged 18 , diagnosed with serious mental illness (SMI), experiencing a mental health emergency and require intensive treatment and support.  The CSP is a locked crisis program. It serves adults 18 admitted both voluntarily and involuntarily. The length of stay is up to 23 hours. 

    Shifts Available:   

    On Call; Shift Hours and Days vary as needed

    Expected starting wage range is $24.37 - $29.37.  Telecare applies geographic differentials to its pay ranges.  The pay range assigned to this role will be based on the geographic location from which the role is performed.  Starting pay is commensurate with relevant experience above the minimum requirements.  

    POSITION SUMMARY
    The Recovery Specialist II provides care that responds to the physical and psychological needs of members served. The Recovery Specialist II provides direct and indirect services according to individual service plans and Medicaid standards.

    ESSENTIAL FUNCTIONS
    • Demonstrates the Telecare mission, purpose, values, and beliefs in everyday language and contact with the internal and external stakeholders
    • Provides safe, effective, and efficient implementation of direct care in accordance with established policies, procedures, and standards of care
    • Establishes, maintains, and co-facilitates a therapeutic relationship with members served; acts as a role model by maintaining a hopeful and positive attitude and problem solving and coping with mental illness
    • Attends and participates in community meetings and groups
    • Charts and observes client behavior
    • Documents client activities of daily living, response to interventions, and significant behavior changes as appropriate
    • Admits and discharges members served as assigned; including completing associated documentation
    • Collects stool, urine and other specimens, as requested, on assigned clients
    • Obtains client vital signs and weights, as assigned
    • Assists members served with hygienic care
    • Assists at mealtime by distributing meal trays, pouring beverages, and/or feeding members served in need of assistance
    • Provides client monitoring including, but not limited to, rounds, seclusion and restraint supervision and smoke breaks.
    • Assists in client outings, which may include driving.
    • Practices body substance precautions at all times
    • Must evade members served in the event of assaultive behavior and pass assault crisis/crisis prevention training
    Duties and responsibilities may be added, deleted and/or changed at the discretion of management.

    QUALIFICATIONS
    Required:
    • High school diploma or G.E.D and two (2) years of experience in a psychiatric mental health setting or BA/BS with one (1) year experience in mental health setting
    • Knowledge of basic nursing skills and interventions, as well as mental and physical health conditions and terminologies
    • Certification as a CNA or its equivalent is acceptable documentation of nursing skills knowledge
    • Must be at least 18 years of age
    • Must be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employment
    • All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver’s license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply

    SKILLS
    • Knowledge of basic psychiatric rehabilitation interventions
    • Good communication skills
    • Ability to use problem-solving techniques
    • Ability to interview members served to determine client needs

    PHYSICAL DEMANDS
    The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

    The employee is occasionally required to sit, bend, squat, kneel, crawl, twist, push, pull and lift and carry items weighing 50 pounds or less as well as to frequently walk, stand, twist, reach and to do simple and power grasping. The position requires manual deviation, repetitive and dexterity and be exposed to uneven walking ground as well as Hazardous Exposure (Blood Borne Pathogens, Hospital Waste, Chemical & Infectious).

    EOE AA M/F/V/Disability

    If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

  • 1 Month Ago

T
Recovery Specialist II (On Call) - Behavioral Health 195
  • Telecare Corporation
  • Santa Cruz, CA FULL_TIME
  • Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural divers...
  • 1 Month Ago

C
Director of Nursing (DON) - The Camp Recovery Center
  • Camp Recovery Center
  • Scotts, CA FULL_TIME
  • Overview Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 250 plus behavioral healthcare facilities with approxi...
  • 1 Day Ago

T
Chief Financial Officer (CFO) The Camp Recovery Center
  • The Camp Recovery Center
  • Scotts, CA FULL_TIME
  • Overview Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 250 plus behavioral healthcare facilities with approxi...
  • 5 Days Ago

C
Provider Payment Strategy Manager (Remote)
  • Central California Alliance for Health
  • Scotts, CA FULL_TIME
  • We have an opportunity to join the Alliance as the Provider Payment Strategy Manager in the Payment Strategy Department. WHAT YOU'LL BE RESPONSIBLE FOR Managing the advancement of provider reimburseme...
  • 1 Month Ago

J
Senior Product Manager, Point of Sale and Payment Systems
  • Jane Technologies
  • Santa Cruz, CA FULL_TIME
  • Company Overview:Jane is an MIT-founded, high-growth, and quickly-growing technology company in the cannabis industry. We believe in the cannabis industry's ability to bring well-being, health, and lo...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Payment Recovery Specialist jobs found in Santa Cruz, CA area

Santa Cruz (/ˈsæntə ˈkruːz/, Spanish: Holy Cross) is the county seat and largest city of Santa Cruz County, California. As of 2013 the U.S. Census Bureau estimated Santa Cruz's population at 62,864. Situated on the northern edge of Monterey Bay, about 32 mi (51 km) south of San Jose and 75 mi (120 km) south of San Francisco, the city is part of the 12-county San Jose-San Francisco-Oakland Combined Statistical Area. Santa Cruz is known for its moderate climate, natural environment, coastline, redwood forests, alternative community lifestyles, and socially liberal leanings. It is also home to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$54,021 to $71,077
Santa Cruz, California area prices
were up 2.5% from a year ago