Data Entry Technician - Claims Mailroom

Data Entry Technician (Claims)

At Sunshine Enterprise USA were not just a company; were a community of dedicated professionals committed to excellence and innovation. As a leading force in the business landscape we take pride in bringing together great people and great organizations by fostering a work environment that values creativity diversity and growth. If youre ready to embark on a rewarding career journey with a company that prioritizes its employees explore our current job opportunities below.

Job Title: Data Entry Technician (Claims)
Location: Orange California
Salary: $20.00 $25.78 per hour
Job Type: Contract (FullTime)
Duration: 3 to 6 months (with the possibility of extension or consideration for permanent employment)

Job Summary

The Data Entry Tech (Claims) will ensure consistent and efficient operations and assist with the daytoday responsibilities for Claims Administration. The Data Entry Techs should be attentive to detail and capable of assisting with daytoday data entry tasks including processing organizing and other services. This individual is responsible and communicative with staff. They will be performing routine and complex data entry and maintenance functions.

Position Responsibilities

• Performs data entry of various documents data sources and files.
  
• Conducts outreach calls for data entry purposes as needed.
  
• Assists with mailing information to members.
  
• Provides resource and mailing support for teleworking staff as applicable.
  
• Alerts supervisor of any issues that impact production and quality.
  
• Ensures all Protected Healthcare Information (PHI) is locked at the end of the day.
  
• Completes other projects and duties as assigned.
  

Possesses the Ability to:

• Use data entry common techniques.
  
• Maintain organized files and be detail oriented.
  
• Analyze incoming mail and determine an appropriate course of action.
  
• Work independently and as part of a team.
  
• Communicate clearly and concisely both orally and in writing.
  
• Utilize computer and appropriate software (e.g. Microsoft Office: Excel Outlook PowerPoint Word) and jobspecific applications/systems to produce correspondence charts spreadsheets and/or other information applicable to the position assignment.
  

Experience & Education

• High School diploma or equivalent required.
  
• 1 year of data entry experience required.
  
• Bilingual in English and in one of the defined threshold languages preferred.
  
• Experience in an HMO Managed Care or MediCal setting preferred.
  
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
  

Preferred Qualifications

• Experience in claims operation within a managed care or health care industry.
  

Knowledge of:

• MediCal claim forms: CMS1500 UB04 and 251.
  
• Standard medical terminology Current Procedure Terminology (CPT) Healthcare Common Procedure Coding System (HCPCS) revenue codes and International Classification of Diseases (ICD10).
  

Sunshine Enterprise USA is committed to equal opportunities for all individuals including minorities females veterans and disabled persons.