Transaction Entry Clerk

Texas Children's Hospital; Bellaire (TX); On-site; USD 31,000 - 42,000; Full time

Job summary

Texas Children’s Hospital is seeking a Transaction Entry Clerk to accurately enter all claims for adjudication, open and sort daily mail, scan documents, and update Coordination of Benefits (COB) information in the Claims system. The role also involves creating form letters and handling related data-entry tasks in a timely manner.

Responsibilities include verifying COB data in external systems, processing queued work, and completing special projects as assigned, with attention to accuracy and

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

Education

High school diploma or GED

Job description

Job Description

At our company, our mission starts with our people. Guided by our HEART values of Humility, Excellence, Accountability, Respect, and Trust, we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day.

At our company, our mission starts with our people. Guided by our HEART values of Humility, Excellence, Accountability, Respect, and Trust, we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day.

As a Transaction Entry Clerk, you’ll enter all claims received for adjudication; open/sort/scan daily mail; data enters claims into the system; file, verify and update Coordination of Benefits (COB) information in the Claims system, and create form letters.

Responsibilities

Job Duties & 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

Qualifications

QUALIFICATIONS

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

About Us

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.