Healthcare Mailroom & Claims Specialist

Imperial Health Plan of California, Inc.; Pasadena (CA); On-site; USD 22,000 - 31,000; Full time

Job summary

Imperial Health Plan of California, Inc. in Pasadena, CA seeks a mail room/clerical staff member for the Claims department. You will manage incoming mail, triage and batch items, and perform data entry in the EZ-CAP system to support daily claim processing.

Qualifications include a high school diploma and at least 1 year in a healthcare mail/clerical role, with strong English communication and confidentiality. This is an on-site position requiring accuracy and multi-tasking.

Qualifications

• High school graduate or equivalent.
• 1 year of mail room/clerical experience in a healthcare setting.
• Willingness to read, write, speak English and communicate accurately.

Responsibilities

• Open, triage, and batch incoming mail and faxes.
• Open claim mail (manual and automated) and organize by claim.
• Research provider and member status in EZ-CAP.
• Enter manual claims into EZ-CAP claims system.
• Log daily mail and batch claims for daily vendor pickup.
• Process daily pend, denial and forwarding correspondence.
• Provide requested documentation to internal departments and provider network.

Tools

EZ-CAP

Excel

Job description

Imperial Health Plan of California, Inc. in Pasadena, CA seeks a mail room/clerical staff member for the Claims department. You will manage incoming mail, triage and batch items, and perform data entry in the EZ-CAP system to support daily claim processing.

Qualifications include a high school diploma and at least 1 year in a healthcare mail/clerical role, with strong English communication and confidentiality. This is an on-site position requiring accuracy and multi-tasking.