Claims & Mailroom Specialist: Data Entry & Scanning

L.A. Care Health Plan; Los Angeles (CA); Vor Ort; USD 46.000 - 52.000; Vollzeit

Benefits dieser Stelle

Medical, Dental and Vision

Wellness Program

Paid Sick Leave

Zusammenfassung

L.A. Care Health Plan in Los Angeles, CA is seeking an on-site Claims Assistant to support mailroom operations, scan paper claims, and enter data for tracking. The role involves opening, counting, sorting, and preparing claims for scanning, with attention to timely processing.

Responsibilities include processing incoming mail, OCR scanning, maintaining filing systems, and answering inquiries. Requires at least 6 months of healthcare mailroom/clerical experience and strong Excel/Word skills.

Qualifikationen

• Must be very detail oriented with the ability to count accurately and track claim documents throughout the mailroom process.
• Proficient in Microsoft Excel with ability to create calculations and charts.
• Must be proficient in using Microsoft Word.
• Must be able to work effectively within the mailroom by mentoring and coaching mailroom staff on correct procedures.

Aufgaben

• Processes incoming mail: Opens and dates stamp the mail; Sorts and counts mail receipts; Scans claims into electronic document; Tracks claims receipts and apprises the department manager of high volumes; Forwards misdirected mail to the correct entity; Ensures paper claims and nonstandard documents are routed appropriately to our Plan Partners and internal departments within the required timeframe.
• Photocopies and mails correspondence to internal departments, Plan Partners, submitting providers, PPGs, members, and other parties on a daily basis. Scan/OCR of paper claims and verification process. Dispositions of mail and claims within 3 to 5 working days of receipt by the department.
• Maintains the filing system within the department. All claim related information must be filed within seven working days. Files will be monitored to coordinate moving information to off-site storage.
• Answers phone inquiries, provides clerical assistance to the claims department as needed, and orders supplies. Determines workloads and process flows to ensure compliance with the regulatory agencies.
• Performs other duties as assigned.

Kenntnisse

Detail oriented

Excel

Word

Data entry

Ausbildung

High School Diploma or GED

Tools

OCR software

Scan software

Jobbeschreibung

L.A. Care Health Plan in Los Angeles, CA is seeking an on-site Claims Assistant to support mailroom operations, scan paper claims, and enter data for tracking. The role involves opening, counting, sorting, and preparing claims for scanning, with attention to timely processing.

Responsibilities include processing incoming mail, OCR scanning, maintaining filing systems, and answering inquiries. Requires at least 6 months of healthcare mailroom/clerical experience and strong Excel/Word skills.