Transaction Entry Clerk

Texas Children's Hospital • Bellaire, TX

13h

About The Position

The Transaction Entry Clerk enters claims received for adjudication and handles daily mail and claim documents. The role includes opening, sorting, scanning, and entering claims and miscellaneous documents into a data-entry system for upload to the claims-processing system. The clerk verifies Coordination of Benefits (COB) information using an external vendor’s system and updates verified information in a web-based application. Claims rejected for missing required information must be returned to the provider within three days of rejection. The role also includes filing and retrieving claims, working assigned queues, creating form letters for rejected claims, and completing special projects and other assigned tasks.

Requirements

• High school diploma or GED required.
• One year of data-entry experience required.

Nice To Haves

• Claims entry experience preferred.

Responsibilities

• Open, sort, and scan daily mail, and enter claims into the system.
• Verify Coordination of Benefits (COB) information in an external vendor’s system and update verified information in a web-based application.
• Pull claims from filed batches, refile them, and work assigned queues daily.
• Print faxes and perform other duties and tasks as assigned.
• Create form letters for rejected claims.
• Open and sort claims and miscellaneous documents into categories, scan them, and enter them into the data-entry system for upload to the claims-processing system.
• Return claims rejected for missing required information to the provider within three days of the rejection date.
• Sort, scan, and key claims.
• Complete special projects as requested.

What This Job Offers

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