Claims Intake Coordinator

As the Claim Intake Coordinator, you will be responsible for
the accurate and timely entry of received paper claims into the claims
processing system. You will ensure compliance with all regulatory guidelines,
including adhering to Claim Acknowledgement Regulatory Turnaround Time
Guidelines, maintaining a 95% accuracy rate.

Key responsibilities include:

• Performing
  initial data entry of paper claims into the claims processing system.
• Ensuring
  claims are entered in compliance with regulatory guidelines, meeting the
  95% accuracy rate standard.
• Identifying
  provider/vendor and/or eligibility maintenance claims for internal
  department review as needed.
• Providing
  back-up support for clerical tasks, such as batching, sorting, monitoring,
  and maintaining claim batches for audit review.
• Handling
  inbound claims inquiry status calls and assisting with related questions.

We are seeking a detail-oriented, self-directed individual
with:

• High School Diploma, GED and/or equivalent
  experience
• Minimum of 2 years of medical claims customer
  service experience in an HMO environment (i.e. MSO, IPA, or Health Plan),
  required
• Minimum of 1 year of data experience, required
• Experience working in a medical billing office
  or health plan, highly desired
• Working knowledge of Microsoft Office, including
  Word and Excel
• Experience with Medical Terminology is a
  definite plus
• Basic Knowledge of ICD-10, HCPCS, and CPT codes
• Knowledge of basic concepts of managed care
• Excellent customer service skills with strong
  written and verbal communication abilities
• Able to key between 6,000 to 8,000 keystrokes or
  type 40-50 WPM with high accuracy for alpha and numeric data inputting