Claims Data Entry Specialist

Texas Children's; Bellaire (TX); On-site; USD 30,000 - 45,000; Full time

Job summary

Texas Children's is seeking a Transaction Entry Clerk to join our claims operations. You will enter all claims for adjudication, open and sort daily mail, and data-enter claims into the system, ensuring COB information is verified and updated in the vendor's web-based applications.

You will pull claims from batches, print faxes, create form letters for rejected claims, and participate in special projects. A high school diploma and at least one year of data entry experience are required.

Qualifications

• High school diploma or GED required.
• 1 year of data entry experience required.
• Claims entry experience preferred.

Responsibilities

• Opens, sorts and scans daily mail received. Data enters claims in the system.
• Verifies Coordination of Benefits (COB) information in an external vendor's system and updates verified information in a web based application.
• Pulls claims from filed batches, refiles, work assigned work queues daily, print faxes and other duties and tasks as assigned.
• Creates form letters for rejected claims.
• Completes special projects as requested.
• Opens, sorts into various categories, scans and data enters claims and miscellaneous documents into data entry system for uploading into claims processing system. Claims that are rejected for missing required information must be returned to the provider within 3 days from the date rejected.
• Sorts, scans and keys claim.

Skills

Data entry

Claims processing

COB verification

Attention to detail

Education

High school diploma or GED

Tools

Web-based application

Claims processing system

Job description

Texas Children's is seeking a Transaction Entry Clerk to join our claims operations. You will enter all claims for adjudication, open and sort daily mail, and data-enter claims into the system, ensuring COB information is verified and updated in the vendor's web-based applications.

You will pull claims from batches, print faxes, create form letters for rejected claims, and participate in special projects. A high school diploma and at least one year of data entry experience are required.