Claims - Mail Assistant

Company Overview
Choice Medical Group is a comprehensive healthcare organization serving the High Desert region with a network of urgent care facilities, primary care providers, and specialty physicians. Established in 1990, the group is recognized for its commitment to community health, innovation, and providing high-quality medical services across multiple locations.

Overview
We are seeking a dedicated Claims - Mail Assistant to support our administrative and claims processing operations. This role is vital in ensuring efficient handling of mail correspondence related to insurance claims, patient records, and administrative documentation. The ideal candidate will possess strong organizational skills, excellent communication abilities, and proficiency with office management tools to contribute to our team’s success.

Responsibilities
Responsible for daily sorting and processing of incoming mail for all AHMG/CPNAHMG groups, including UB-04 and CMS-1500 claim forms. Ensure claims are accurately categorized by line of business, multiple service dates, PDR, appeals, and retro authorizations. Identify and forward Out-of-Area claims in compliance with regulatory requirements. Complete batch scanning of all documents once sorting is finalized.

Skills
· Must have effective communication, facilitation, interpersonal and professional diplomacy skills.

· Strong attention to detail with ability to manage multiple priorities while meeting deadlines.

· Able to Problem-solve, negotiate and demonstrate independent decision-making.

· Strong communication skills in both oral and written form.

· Positive attitude and takes a team approach to management.

· Maintain strong skills in diplomacy, professionalism and trustworthiness.

· Familiarity with Microsoft applications, which include the ability to learn new computer systems and applications.

· Ability to manage multiple priorities and projects.

· Detail oriented with desire for producing work with 100% accuracy.

· Excellent analytical and problem-solving skills.

Qualifications

· Minimum two (2) years’ experience in the healthcare management managed care environment required; including third-party contracting, negotiating, reimbursements and analysis.

· Minimum two (2) years of experience in a management capacity.

· Preferred experience in managing analyzing and reporting denials and appeals.

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $18 - $20