CNC Machinist

HR Associate in Los Angeles, CA. 3+ Month contract Opportunity!

This Jobot Consulting Job is hosted by: Robert Reyes
Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.
Salary: $24 - $29 per hour

A bit about us:

Prestige Hospital System
Advancing new knowledge and improving health outcomes through research

Why join us?

Competitive compensation
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Schedule
Job Stability
Career growth
If you are passionate, thrive in a fast-paced environment and are ready to take your career to the next level, we would love to hear from you.

Job Details

Job Details:

The Consulting Claims Intake Coordinator is a vital role in our healthcare organization, responsible for the accurate and efficient data entry of paper claims into our claims processing system. This role is critical in ensuring compliance with all regulatory guidelines, particularly in relation to Claim Acknowledgement Regulatory Turn Around Time Guidelines, with a 95% accuracy rate. The successful candidate will also be responsible for identifying provider/vendor and/or eligibility maintenance claim work queues for internal department review as necessary. This role also provides essential back-up for our Claims Department, including tasks such as batching, sorting, monitoring, and maintaining claim batches for audit review. The Consulting Claims Intake Coordinator will also handle claims inquiry status calls.

Responsibilities:

• Accurate data entry of received paper claims into the claims processing system.
• Compliance with all regulatory guidelines, particularly those related to Claim Acknowledgement Regulatory Turn Around Time Guidelines.
• Identification of provider/vendor and/or eligibility maintenance claim work queues for internal department review as necessary.
• Providing back-up for the Claims Department, including tasks such as batching, sorting, monitoring, and maintaining claim batches for audit review.
• Handling claims inquiry status calls.
• Maintaining a high standard of customer service at all times.

Qualifications:

• Minimum of 2 years of medical claims customer service experience in an HMO environment (i.e., MSO, IPA or Health Plan).
• High School Diploma, GED or Equivalent.
• At least 1 year of data entry experience is required. Experience working in a medical billing office or health plan is preferred.
• 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 detailed oriented, attentive, organized, and able to follow directions.
• Experience with medical terminology is a definite plus.
• Basic knowledge of ICD10, HCPCS and CPT codes.
• Knowledge of basic concepts of managed care.
• 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.

Interested in hearing more? Easy Apply now by clicking the "Apply" button.

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