Claims Processor

About Us:

Our client is a medical foundation born out of the aspiration of local and high-quality providers to partner together to bring a greater range of  health care services to patients within surrounding communities in the Bay Area. Seeking a Claims Coordinator to support a dedicated team of health care providers in their Fremont practice.

This large healthcare organization has several clinics in Northern California. Currently, they are growing at a rapid pace and are looking for a qualified Claims Coordinator immediately. The ideal candidate will have a strong background in claims with data entry skills, high attention to detail, and clerical tasks.
 

Job Summary:

• Provide support functions to the claims department

• Sort incoming mail for distribution and dispatch outgoing mail

• Date, stamp, and sort mail according to established department policy and procedure

• Perform data entry functions as needed

• Effectively manage workload and prioritize assignments

• Work without significant guidance

• Ensures claims inventory, outbound correspondence, and workflows are managed in accordance with State, Federal and Health plan regulatory requirements as well as departmental guidelines

Qualifications:

• High school diploma or equivalent. Some college preferred

• Minimum of two years of medical collections experience

• Knowledge of medical billing/collection practices.

• Knowledge of basic medical coding and third-party operating procedures and practices

• Knowledge of legal and regulatory government provisions

• Skill in establishing and maintaining effective internal and external working relationships

• Ability to enter accurately data and examine insurance documents

• Ability to deal courteously with patients, staff, and others

• Ability to communicate effectively and clearly

• Standard office equipment including computers, fax machines, copiers, printers, telephones, etc