Claims Clerk
Claims Clerk
Posted on :
06-04-2025
Employer Active
1 Vacancy
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Yearly Salary
$ 40000 - 52000
Vacancy
1 Vacancy
Posted on :
06-04-2025
Job Description
The claims clerk is responsible for providing expertise and support to all operational team members. The clerk will also be responsible for maintaining researching resolving and responding to correspondence and provider inquiries within a timely manner. Assists the call center with phone calls as needed. Provides feedback to the supervisor on trends and issues observed as opportunities for process improvement.
Telecommuting/Schedule: Telecommute 40 of the time with three days in the office required.
Education: High School Diploma/GED required
Experience: One to two years experience working in a managed healthcare environment. Knowledge of Medical Terminology ICD10 coding CPT coding and HCPC coding is preferred.
Licenses/Certifications: N/A
Other Job Requirements: Able to perform basic to intermediate level of competence with various computer software applications including MS Outlook Word Excel Teams and PowerPoint. Able to effectively communicate with internal staff line of business administration and external customers. Full command of the English language both verbal and written.
ESSENTIAL FUNCTIONS
- Scans logs and tracks incoming appeals and refund checks. Forwards appeal to the appropriate staff.
- Research returned mail and takes appropriate action to resolve.
- Prints and mails correspondence such as dispute letters appeals and refund letters
- Serves as Customer Service call center backup for incoming and outgoing phone calls.
- Prepare check requests for claims manual payments scans and logs all pertinent materials.
- Performs Special Projects as requested by the supervisor.
- Processes documents and reviews invoices correspondence notices and nonstandard claims. Resolves all issues by researching and responding in a timely manner.
- Pulls claims and EOBs for Interstate Compact and Restitution Investigation requests for specific clients.
- Consistently meet established productivity schedule adherence and quality standards.
- Keeps the supervisor informed verbally and in writing of activities and problems within the assigned area of responsibility
CHP Values:
- Integrity:To do the right thing even when nobody is watching.
- Teamwork:To collaborate and to support each other in achieving a common goal.
- Accountability:To take responsibility for our successes and failures and to hold ourselves and others to highstandards.
- Patientcentered:To identify patient needs and provide optimal patient care.
- Compassion:To be empathetic toward the needs of our clients patients and coworkers.
Correctional Health Partners offers a professional atmosphere competitive salaries and a full range of benefits. Benefits we provide include:
- 401(k) plan.
- Medical dental and vision benefits.
- Flex spending medical and dependent care plans are available.
- Paid time off up to 28 days per year based on tenure and position.
- Paid holidays: we recognize 9 holidays.
- Education tuition reimbursement.
Salary Range: $40000.00 to $52000.00 Annually dependent on experience
Correctional Health Partners is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race color religion sex age national origin protected veteran status disability status sexual orientation gender identity or expression marital status genetic information or any other characteristic protected by law.
Employment Type
Full Time
Key Skills
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
