Position Title – Claims Representative
Location – Ontario, CA
Pay -- $19/hr
Estimated Start date – 7/22
Hours – Mon-Fri between 7am-4pm
Openings – 1
Contract Type – Temp to perm
Interview Process - In-person
Responsibilities:
- Mon-Fri match Checks with Remittance Advise fold & insert into appropriate sized envelope.
- Reconcile processed batches within the audit database.
- Create Denial trailers and mail out letters.
- Print and mail out letters on claims requirements for Covered California members.
- Forward claims that are Health Plan responsibility.
- Mail out all unable to process claims with the appropriate letter to providers and create trailer.
- Batch all trailers created by various departments.
- Audit the Batch Log Key to ensure claims have been assigned and logged as processed.
- Look up members to determine Line of Business and Coordination of Benefits are in system.
Requirements:
High School Diploma or General Education Degree (GED)
- 6 months clerical office experience.
Specific Knowledge, Skills, and Abilities (Example: Familiarity with spreadsheet applications such as Excel and/or Access.
- Excellent Data Entry skills needed.
- Computer knowledge: Basic Excel, Word, Outlook, Alpha Numeric Entry, 35-40 wpm.
- Ability to work with and tolerate constant changes to processes.
- Must demonstrate the ability to work in a team environment as well as independently.
- Excellent communication skills.
#INDMLK
Job Type: Full-time
Pay: $19.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Work Location: In person