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MFS Talent is Hiring a Claims Coordinator Near Newark, CA
Job Details
- Shift: Rotating - Days - 8hrs, Monday-Friday, 16 hours / week
- Work Location: Onsite; Palo Alto, CA
- Claims mail processing:
- Responsible for complete adjudication of professional and institutional complex medical claims in accordance with departmental, health plan, and regulatory timelines and accuracy standards.
- Assist with Health Plan audits.
- Responsible for interpreting and understanding established University Healthcare Alliance claims polices & procedure and process documentation.
- Meet established departmental quality, production, and turnaround time performance benchmarks.
- Utilizes appropriate reference materials and policies to research information and process claims accurately.
- Assist with training new and existing claim coordinators.
- Responsible for sending out daily inventory updates.
- Acknowledge and understand all information discussed at staff meetings and fully comprehend updates and in-service training.
- Manage workflows/ assignments and perform duties with reasonable independence.
- Make significant contributions to the work team and demonstrates full competence in own work area.
- All other duties as assigned including department-specific functions and responsibilities:
- Performs other duties as assigned and participates in organization projects as assigned.
- Adheres to safety, P4P's (if applicable), HIPAA and compliance policies
Education Qualifications
- High School graduate
- Basic understanding of Microsoft Word and Excel applications.
- Basic knowledge of and working experience with ICD-9, ICD-10, CPT and HCPC coding systems.
- Basic knowledge of medical terminology, enrollment and membership activities and claim processing procedures/systems
- Dental/Medical/Vision
- 401k
Job Summary
Full Time
$65k-83k (estimate)
05/02/2024
05/20/2024
The following is the career advancement route for Claims Coordinator positions, which can be used as a reference in future career path planning. As a Claims Coordinator, it can be promoted into senior positions as a Claims Examiner IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Coordinator. You can explore the career advancement for a Claims Coordinator below and select your interested title to get hiring information.
