$13/hr Claims Processors needed in Cypress

$27,040 - $27,040/Yr

Unclassified - Cypress, CA

Full-time

Cypress, CA

About the position

The Claims Processor position involves managing and processing medical claims efficiently and accurately. The role requires strong attention to detail, effective communication skills, and the ability to work in a fast-paced environment. The Claims Processor will be responsible for various tasks including data entry, patient account audits, and ensuring timely follow-up on claims with payors.

Responsibilities

• Research and audit patient accounts
• Enter data into the MIS System
• Confirm patient eligibility and prepare billing to insurance companies
• Follow up on outstanding claims with payors
• Ensure pertinent billing related documents are filed
• Process provider claims in MIS system on a daily basis
• Process corrections internally and coordinate with clinical insurance company as appropriate to ensure account accuracy
• Process claims daily meeting established production standards
• Review and process inbound faxes
• Support inbound phone queues
• Maintain a spreadsheet of claims received and claims pending
• Provide daily reports of claims received to Claims Team Lead and Claims Manager
• Process claims that are received through Electronic Data Interchange (EDI) clearing house
• Resolve complex claims issues from providers and payors
• Review and correct denials processed by claims processors
• Keep team lead and Claims Manager informed of issues as they arise
• Assist in training new staff
• Perform other miscellaneous duties as assigned by manager

Requirements

• 2 years of medical office experience
• Computer knowledge and data entry with speed and accuracy
• Claims background
• Strong phone etiquette

Benefits

• Equal employment opportunity employer