Claims Intake Coordinator

Avispa Technology•Los Angeles, CA

6d•$30 - $30•Onsite

About The Position

A leading medical institution is looking for a Claims Intake Coordinator to manage the initial data entry of received paper claims into the claims processing system in compliance with all regulatory guidelines as it relates to Claim Acknowledgement Regulatory Turn Around Time Guidelines.

Requirements

2+ years of medical claims customer service experience in an HMO environment (i.e., MSO, IPA or Health Plan.
1+ year of data entry experience is required.
High School Diploma, GED or Equivalent.
Must be able to key between 6,000 and 8,000 keystrokes or type 40 – 50 WPM with high accuracy for alpha and numeric data inputting.
Working knowledge of Microsoft Windows, MS Word and MS Excel.
Must be detail oriented, attentive, organized, and able to follow directions.
Ability to effectively manage multiple tasks.
Ability to write and to verbally communicate effectively.
Ability to be flexible and adaptable.
Ability to work autonomously.
Excellent customer service skills.

Nice To Haves

Experience working in a medical billing office or health plan is preferred.
Experience with medical terminology is a definite plus.
Basic knowledge of ICD10, HCPCS and CPT codes.
Knowledge of basic concepts of managed care.

Responsibilities

Manage the initial data entry of received paper claims into the claims processing system in compliance with all regulatory guidelines as it relates to Claim Acknowledgement Regulatory Turn Around Time Guidelines at a 95% accuracy rate.
Identify provider/vender and/or eligibility maintenance claim work queues for internal department review as needed.
Provide back-up as needed for clerical support Claims Department, including but not limited to batching, sorting, monitoring, and maintaining claim batches for audit review, as well as answer claims inquiry status calls.