Non-Clinical - Finance/Accounting - Finance Clerk

Whittier, CA - USA

Monthly Salary: Not Disclosed

Posted on: 16-09-2025

Vacancies: 1 Vacancy

Job Summary

TITLE: Claims Clerk POSITION SUMMARY The Claims Clerk aids the Claims Services Department by performing tasks related to claims processing functions such as scanning mailing letters filing making copies assist data entry processors in logging claims and any other clerical task as needed in the Claims Services Department. SPECIFIC SKILLS NEEDED Knowledge/understanding of IPA HMO and PPO policies and procedures on claims processing. Familiarity with medical terminology CPT and ICD-9 coding systems. Computer keyboard proficiency 10-key skills. Excellent organizational skills. EDUCATION/EXPERIENCE/TRAINING Required: High school diploma or equivalent One year of clerical work experience DUTIES AND RESPONSIBILITIES 1. Safeguards and preserves the confidentiality of patient s protected health information in accordance with State and Federal (HIPAA) regulatory requirements hospital and departmental policies. 2. Ensures a safe patient environment and adherence to safety practices per policy. 3. With consideration to age employee utilizes the approved process to resolve biophysical psychological educational and environmental needs of patient/significant other when administering care. 4. Essential to the provision of community benefits as an expression of our charitable healthcare mission and purpose each manager/supervisor is committed to the delivery of high quality compassionate healthcare and is further committed to supporting the strategic direction of community benefits within PIH Health and its affiliates. (Applies to management positions). 5. Scanning claims for examiners and PDR Analysts 6. Mailing letters for examiners and PDR Analysts 7. Filing claims 8. Making copies of claims for examiners 9. Assist data entry processors in pre-logging claims as needed 10. Other miscellaneous clerical tasks 11. Protect confidentiality of all information under your control regarding patients provider contracts staff and any other sensitive material. 12. Provide any customer or provider services required or assist by appropriate referral. 13. Perform other duties assigned by Claims Services Management. TEAMWORK/CUSTOMER SERVICE RESPONSIBILITIES 1. Customer Service Values and Behaviors: 1.1 Value: Each person is treated with respect dignity fairness and compassion. Behavior: Performance is acceptable when everyone is promptly greeted with a smile in a warm and caring manner using the person s name whenever possible. No matter how I feel I display a caring attitude. 1.2 Value: Each person displays loyalty and pride in PIH Health and upholds the confidentiality of patients visitors physicians and co-workers. Behavior: Performance is acceptable when concerns/problems with fellow employees and customers are not discussed with anyone other than the person involved or the supervisor. Customer issues and ideas are listened to and appropriate follow up occurs to create a satisfied customer. I do not make excuses. I do not demean other people or departments. 1.3 Value: Each person demonstrates commitment to open communication. Behavior: Performance is acceptable when openness and acceptance of constructive criticism occurs. Positive communication occurs by complimenting and expressing appreciation to others. I will listen and encourage others to express ideas and opinions. 1.4 Value: Each person demonstrates pride in the physical appearance of all PIH Health properties. Behavior: Performance is acceptable when the initiative is taken to maintain a clean and safe environment. I conduct myself in a manner which respects and preserves equipment and the physical plant. I do not walk by spills trash or unsafe conditions without assuring that they are attended to promptly by me or appropriate personnel. PERSONAL QUALITIES Excellent organizational skills Detail oriented Ability to work independently and function effectively under time deadlines