Claims Clerk- Bakersfield 1.1

Universal Healthcare MSO LLCBakersfield, CA
5m$19 - $23Onsite

About The Position

A Claims Clerk is an administrative support professional who is responsible for processing, distributing, and organizing incoming and outgoing mail, documents, and claims for the organization.

Requirements

  • Excellent attention to detail, organization, and communication skills.
  • High School diploma or equivalent.
  • Comprehension of claims processes and workflows.
  • Familiar with office equipment (including a photocopy machine, scanner, facsimile machine, etc.)
  • Proficiency in MS Excel, Word, and Outlook.
  • Ability to type 40 Words per minute (WPM) or 5,000 Keystrokes per Hour (KSPH).
  • One or more years working in a healthcare or other related business environment: experience in medical billing services and/or a managed care environment preferred.
  • Ability to work independently and as part of a team in a fast-paced environment is essential.

Responsibilities

  • Mail Processing: Receive, sort claims and supporting documents according to company policy and procedures, date stamp, distribute all other incoming mail.
  • Identify claims lacking required information.
  • Scan, track and log all daily mail according to departmental policies and procedures.
  • Accurately identify and sort provider dispute
  • Data Entry: Input and maintain accurate records of all incoming and outgoing documents, including claims, applications, and supporting documents.
  • File Management: Maintain accurate and organized filing systems, including electronic and physical files, for all incoming and outgoing documents.
  • Customer Service: Respond to inquiries from customers and staff regarding claim status and location and provide general support and assistance as required.
  • Quality Control: Preform routine quality control checks to ensure accuracy and completeness of all incoming and outgoing documents.
  • Equipment Maintenance: Ensure that all mailroom equipment, including scanners, copiers, and printers, is in good working order and perform routine maintenance as required.
  • Compliance: Ensure compliance with all company policies and procedures, as well as state and federal regulations, including HIPAA.
  • Reporting: Prepare and maintain reports as required, including monthly statistics on incoming and outgoing mail and claims processing.
  • Other related duties as assigned.

Benefits

  • Medical
  • Dental
  • Vision
  • Paid Time Off (PTO)
  • Floating Holiday
  • Simple IRA Plan with a 3% Employer Contribution
  • Employer Paid Life Insurance
  • Employee Assistance Program
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