Openings >> Customer Service Rep - Healthcare Claims | Immediate Opening!
Customer Service Rep - Healthcare Claims | Immediate Opening!
Summary
Title:Customer Service Rep - Healthcare Claims | Immediate Opening!
ID:201546720900
Labor Type:Temp-to-Hire
Posting #:FM20117SP
Location:Northridge
Compensation:$18.00 - $20.00
Description

In this position you will:

  • Be responsible for clerical functions such as copying, filing, mailing claims correspondence to various external customers.
  • Follow-up on claims forwarded to internal departments for review such as UM, contracts, eligibility, UM Physician and Medical Director Review.
  • The primary goal of this position is to perform clerical functions to make the production staff more efficient and reach higher production levels.
  • Be responsible for entering Claims into the GE Centricity/IDX database, following up on routine pended claims when needed such as those pending for request of Medical records or notes, TAX ID information, etc.
  • Will interact closely with Claims Department Leadership and Claims staff in regards to these claims functions.

Qualifications:

Required qualifications for this position include:

  • Three or more years HMO claims and Claims Correspondence processing experience required in a managed care environment, preferably PMG/IPA setting within the last three years or any combination of education and/or experience which produces an equivalency.
  • Knowledge of medical terminology and coding.
  • Familiar with CMS and Department of Managed Care mandates.
  • Ability to type 35 WPM uses a ten‑key adding machine, perform data entry and make mathematical calculations.
  • Effective communication and follow-through skills.

Preferred qualifications for this position include:

  • Spanish bilingual
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