Medical Claims Entry Operator

Moda Health•Milwaukie, OR

11d•Remote

About The Position

Moda Health is seeking a Medical Claims Entry Operator to enter claims into the processing system, route claims as directed, and resolve electronic claims where member or provider information does not match Moda records. This is a full-time, work-from-home role with a pay range of $17.34 - $18.92 hourly, depending on experience. Moda Health values diversity and inclusion and is committed to building a better future for healthcare.

Requirements

High school diploma or equivalent.
Six months data entry experience.
10-key proficiency of 135 spm net on a computer numeric keypad.
Typing ability of 35 wpm net.
Proficiency with Microsoft Office applications and an understanding of basic claims processing rules.
Strong problem solving and detail orientation skills.
Ability to adapt to frequent changes in instructions.
Ability to come into work on time and on a daily basis.
Maintain confidentiality and project a professional business image.

Nice To Haves

Medical terminology helpful.

Responsibilities

Data enters claims accurately using Moda computer systems.
Reassigns claims appropriately as outlined by Medical Claims processing guidelines.
Resolves claims that pend with errors in the processing system by matching claims received to Moda providers or member records.
Research and problem solve basic claims data.
Identifies and communicates trends.
Performs other duties as assigned.