Claims Coordinator

CommonSpirit Health • Oxnard, CA

7d • Onsite

About The Position

As a Claims Professional, you will ensure accurate and timely processing, submission, and resolution of healthcare claims for appropriate reimbursement. Every day you will review, code, and submit claims, investigate denials and rejections, and coordinate with stakeholders to ensure proper adjudication and maximize revenue recovery. To be successful, you will demonstrate a comprehensive understanding of medical coding, payer regulations, and the revenue cycle, with keen attention to detail and strong analytical skills for complex claim resolution.

Requirements

• High School Graduate General Studies or Combination of education and work experience may be considered
• High School GED General Studies or Combination of education and work experience may be considered

Nice To Haves

• Bachelors Degree in Healthcare Administration, Business, or related field, upon hire

Responsibilities

• Responsible for meeting all PHSO job standards described below
• Accurately review all incoming scanned claims to verify OCR verification is reading claim information correctly
• Maintain quality and production standards established by claims management
• Manage and process claims in a timely and accurate manner
• Ensure all claim documents are completed, processed and reviewed accurately
• Assist with claims inquiries, providing prompt and accurate responses

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED