Claims Examiner I- Bakersfield 1.1

Universal Healthcare MSO, LLC; Bakersfield (CA); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid Time Off (PTO)

Floating Holiday

Simple IRA Plan with a 3% Employer Con

Employer Paid Life Insurance

Employee Assistance Program

Job summary

Universal Healthcare MSO, LLC in Bakersfield, CA is seeking a Claims Coordinator to enter medical claim information into databases promptly and accurately. The role includes verifying claims across Anesthesia, COB, and Special batches and auditing fields for accuracy.

The position is full-time, non-exempt, paid hourly, with standard M-F 8-5 PT hours. Benefits include medical, dental, vision, PTO, and a Simple IRA with employer contributions.

Qualifications

• Excellent attention to detail, organization, and communication skills.
• High School diploma or equivalent.
• Knowledge of professional and institutional claim processing procedures, including COB/TPL/WC.
• Performs high volume data entry.
• Basic understanding of claims processes and workflows.
• Familiar with office equipment (scanners, copiers, etc.)
• Proficiency in MS Excel, Word, and Outlook.
• Ability to type 60 WPM or 10,000 Keystrokes per Hour.
• Minimum of one year of practical experience or completed vocational program in medical office/billing.

Responsibilities

• Mail processing: receive, sort claims and documents according to policy.
• Identify claims lacking required information.
• Scan, track and log daily mail according to procedures.
• Accurately identify and sort provider disputes.
• Manage electronic files (print, copy, scan, transfer, delete).
• Enter data for envelopes, labels, letters and correspondence.
• Data entry: maintain accurate records of all documents.
• Meet timeliness standards for processing claims.
• Maintain compliance with production and quality standards.
• Work independently on assigned tasks with policy adherence.
• Ensure proper denial processing for inappropriate payments.
• Operate with numbers and perform basic arithmetic.
• Detect and correct errors.
• Other related duties as assigned.

Skills

Attention to detail

Organization

Communication skills

Data entry speed

Teamwork

Education

High School diploma or equivalent

Tools

MS Excel

MS Word

Outlook

Job description

Description

Location: Bakersfield, CA (Onsite)

Classification: Full-Time

This position is non-exempt and will be paid on an hourly basis.

Schedule

Monday- Universal Healthcare MSO's standard operating hours are Monday through Friday, from 8:00 a.m. to 5:00 p.m. Pacific Time. Unless otherwise specified, all employees are expected to work their assigned schedules and remain available during these operational hours.

Benefits

• Medical
• Dental
• Vision
• Paid Time Off (PTO)
• Floating Holiday
• Simple IRA Plan with a 3% Employer Contribution
• Employer Paid Life Insurance
• Employee Assistance Program

Compensation:

The initial pay range for this position upon commencement of employment is projected to fall between $20.00 and $24.99. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages

Position Summary

This position will be responsible for entering medical claim information into the various databases in a timely and accurate fashion. Responsible for the verification of all claims that are scanned into one of three families Anesthesia, COB, and Special batches. The Claims Coordinator will verify each claim in the batch, and the system will prompt the verifier to audit certain fields for accuracy and completeness.

Job Duties And Responsibilities

• Mail Processing: Receive, sort claims and supporting documents according to company policy and procedures.
• Identify claims lacking required information.
• Scan, track and log all daily mail according to departmental policies and procedures.
• Accurately identify and sort provider dispute
• Perform basic management of electronic files (i.e., print, copy, scan, transfer and delete).
• Enters data for envelopes, labels, form letters and correspondence.
• Data Entry: Input and maintain accurate records of all incoming and outgoing documents, including claims, applications, and supporting documents.
• Consistently meet internal, external, and governmental timeliness standards in processing claims to ensure prompt and efficient service delivery.
• Maintain compliance with established production and quality standards, ensuring accuracy and efficiency in claim processing.
• Work independently on assigned tasks and activities based on established policies and procedures, demonstrating autonomy and accountability.
• Ensure accurate and proper denial processing in the system for claims deemed inappropriate for payment.
• Works with numbers (i.e., add, subtract, multiply and divide).
• Detects and correct errors.
• Other related duties as assigned.

Requirements

Qualifications

• Excellent attention to detail, organization, and communication skills.
• High School diploma or equivalent.
• Knowledge of professional and institutional claim processing procedures, including COB (Coordination of Benefits)/TPL (Third Party Liability)/WC.
• Performs high volume data entry.
• Basic understanding of claims processes and workflows.
• Familiar with office equipment (including a photocopy machine, scanner, facsimile machine, etc.)
• Proficiency in MS Excel, Word, and Outlook.
• Ability to type 60 Words per Minute (WPM) or 10,000 Keystrokes per Hour (KSPH).
• Minimum of one year of practical experience or successful completion of an accredited vocational program in medical office and/or medical billing preferred.
• Ability to work independently and as part of a team in a fast-paced environment is essential.

Other Requirements

• Possession of a valid driver's license.
• Proof of state-required auto liability insurance.