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 3% Employer Con.

Employer Paid Life Insurance

Employee Assistance Program

Job summary

Universal Healthcare MSO, LLC is seeking a detail-oriented Claims Coordinator to enter medical claim data across multiple databases onsite in Bakersfield, CA. The role involves verifying batches (Anesthesia, COB, Special), auditing fields for accuracy, and ensuring timely processing of mail and documents.

The ideal candidate has a High School diploma or equivalent, strong MS Excel/Word/Outlook skills, and the ability to work independently in a fast-paced environment.

Qualifications

• High school diploma or equivalent required; relevant medical office/billing experience preferred.
• Excellent attention to detail and strong organizational skills.
• Ability to work independently and as part of a team in a fast-paced environment.
• Proficiency with MS Excel, Word, and Outlook; accurate data entry skills.

Responsibilities

• Enter medical claim information into databases accurately and timely.
• Verify claims in anesthesia, COB, and special batches; audit fields for accuracy.
• Process mail: sort, track, and log daily mail per policy.
• Identify missing information and correct or flag inconsistencies in claims.
• Enter data for envelopes, labels, form letters, and correspondence.
• Maintain records of all incoming/outgoing documents and claims.

Skills

Attention to detail

Organization

Communication skills

Independent work

Education

High School diploma or equivalent

Tools

MS Excel

MS Word

MS Outlook

Job description

Description

Location:

Bakersfield, CA (Onsite)

Classification:

Full-Time

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.