Claims Coordinator

Job Details Level: Entry Job Location: Chino HQ - Chino, CA 91710 Position Type: Full Time Salary Range: $21.00 - $23.00 Hourly Job Shift: Day Job Category: Health Care Azul Vision is the largest eye care practice in Orange County, Inland Empire, and the Los Angeles area, with thirty-one locations to serve you conveniently and comfortably. Our world‑class eye doctors are experts in all aspects of eye care as well as leading specialists in vision correction, cataract surgery, and laser eye surgery. We offer everything from cataract removal to cosmetic procedures such as eyelid surgery. You can rest assured you will receive cutting‑edge treatment in a comfortable, friendly, and high‑tech environment. Key Responsibilities Reviews claims to make sure that billing requirements are met, and answers inquiries regarding claim status or denial. Processes clean claims and investigates problem claims. Reviews Estimated Utilization Review (EUR) accurately and timely. Resolves discrepancies and incorrect coding or billing on claims received. Process Providers Checks accurately and timely. Identifies and escalates claims with issues to manager when appropriate. Answers incoming and places outbound phone calls from/to providers regarding status of requests, new requests, eligibility, and answers general questions. Performs other duties as assigned. Qualifications Problem assessment Creative problem solving Interpersonal skills Leadership abilities Oral and written communication skills Proactively sets, meets, and strives to exceed expectations Is an open, clear confident communicator Communicates effectively to ensure deliver best services to patients Professionally communicate with patients and staff Comply with all company health and safety systems, policies, protocols, and legislative requirements Is aware of the requirements that Azul Vision has in terms of Health & Safety and is committed to own safety and wellbeing and the safety of others in the workplace Ensure own reporting of incidents, accidents and near misses Ensure housekeeping in own work area provides a safe and healthy environment A high standard of quality work is produced Actively participate in team discussions which includes opportunities for process improvements Knowledge, Skills, Abilities High school diploma or equivalent. Minimum two years-experience in data entry. Management of multiple tasks simultaneously. Strong organization with an attention to detail. Ability to work as a team member. Strong computer skills. Personal Attributes Strong communication skills Comfortable to lead and implement change Strategic Has perspective Proven decision making and problem‑solving ability Ability to build strong positive and enduring relationships internally and externally Confident Flexibility / adaptability Professional Personal integrity Sense of humour Team player Relationships and Roles Demonstrates ability to interact and operate positively with patients, own team, all company employees, and suppliers Maintains professional internal and external relationships that meet Azul Vision values Approaches the role with an openness and willingness to learn, grow and improve and exudes qualities that colleagues respect Proactively establish and maintain effective working team relationships with all departments Excellent verbal and written communication skills Strong interpersonal skills Ability to read and interpret basic business correspondence Strong organizational skills and proven ability to multitask Proactive work ethic and self‑starter Intermediate computer skill #J-18808-Ljbffr Azul Vision