What are the responsibilities and job description for the Claims Intake Coordinator / Medical Claims Processor position at Enterprise Solutions Inc?
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Job Title: Claims Intake Coordinator
Job Location: Los Angeles, CA 90045
Job Duration: 3 months (High Possibility of Extension)
Pay Range: 28.00 to $30.00/hour on W2.
Shift: Day 5x8-Hour (08:00 AM - 05:00 PM)
Job Description:
The Claims Intake Coordinator is responsible for the initial data entry of received paper claims into the claims processing system in compliance with all regulatory guidelines as it relates to Claim Acknowledgement Regulatory Turn Around Time Guidelines at 95% accuracy rate. Additionally, he/she identifies provider/vender and/or eligibility maintenance claim work queues for internal department review as needed. Incumbent also provides back-up as needed for clerical support Claims Department including but not limited to batching, sorting, monitoring and maintain claim batches for audit review, as well as answer claims inquiry status calls.
Previous Experience:
- 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 off 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.
- High School Diploma, GED or Equivalent.
- Minimum of 2 years of medical claims customer service experience in an HMO environment (i.e., MSO, IPA or Health Plan.
Job Types: Full-time, Contract
Pay: $28.00 - $30.00 per hour
Application Question(s):
- Do you have a experience in medical claims processing, billing, or working with a health plan (HMO, IPA, MSO)? (If yes, please briefly describe your experience, and under which companies did you gain this experience?)
- What is your typing speed and accuracy level?
(Please mention WPM or keystrokes per hour and how you ensure accuracy.)
- Are you familiar with medical coding systems such as ICD-10, CPT, or HCPCS?
(If yes, please explain your level of experience, and under which companies did you gain this experience?)
- Have you worked with high-volume data entry or claims processing systems?
(If yes, approximately how many claims or entries do you handle per day? and under which companies did you gain this experience?)
- Are you comfortable working in a fast-paced environment while maintaining a high level of accuracy (95% )? (Please provide a brief example.)
Work Location: In person
Salary : $28 - $30