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UCLA Health

Medical Claims Intake Coordinator

los angeles, CA

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Job description

Claim Intake CoordinatorWork Location: Los Angeles, CA, USAOnsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:00am - 5:00pm PSTSalary Range: $26.42 - $37.49 HourlyEmployment Type 2 - Staff: Career Duration indefinitePrimary Duties and ResponsibilitiesAs the Claim Intake Coordinator, you will be responsible for the accurate and timely entry of received paper claims into the claims processing system. You will ensure compliance with all regulatory guidelines, including adhering to Claim Acknowledgement Regulatory Turnaround Time Guidelines, maintaining a 95% accuracy rate. Key responsibilities include:Performing initial data entry of paper claims into the claims processing system.Ensuring claims are entered in compliance with regulatory guidelines, meeting the 95% accuracy rate standard.Identifying provider/vendor and/or eligibility maintenance claims for internal department review as needed.Providing back-up support for clerical tasks, such as batching, sorting, monitoring, and maintaining claim batches for audit review.Handling inbound claims inquiry status calls and assisting with related questions.Salary Range: $26.42 - $37.49/hourJob QualificationsWe are seeking a detail-oriented, self-directed individual with:High School Diploma, GED and/or equivalent experienceMinimum of 2 years of medical claims customer service experience in an HMO environment (i.e. MSO, IPA, or Health Plan) - REQUIREDMinimum of 1 year of data experience - REQUIREDExperience working in a medical billing office or health plan, highly desiredWorking knowledge of Microsoft Office, including Word and ExcelExperience with Medical Terminology is a definite plusBasic Knowledge of ICD-10, HCPCS, and CPT codesKnowledge of basic concepts of managed careExcellent customer service skills with strong written and verbal communication abilitiesAble to key between 6,000 to 8,000 keystrokes or type 40-50 WPM with high accuracy for alpha and numeric data inputting

Worksite address

los angeles, CA, 90001, US

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