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Claims Coordinator

Company: ApolloMed
Location: Monterey Park
Posted on: November 17, 2022

Job Description:

SUMMARYUnder the direction of the Mailroom Supervisor, the Claims Coordinator is responsible for the daily logging, sorting, and organization of new claims. The Claims Coordinator scans daily claims mail and re-routes to the appropriate team. The Claims Coordination team collaborates with other units to ensure that claims are adjudicated in accordance with Network Medical Management guidelines.ESSENTIAL DUTIES AND RESPONSIBILITIESDaily scanning and entry of claims dataExpected to be able to identify and sort the different types of claims submissionsEx. First time submissions vs. Appeals/DisputesOrganizes mail and ensures claims on the inventory are properly assigned.Post scanning - responsible for inquiries on claim/package locationCompiles claim reports for monthly Health Plan auditsForwards/routes response letters and finalized claim details to appropriate entity by mail, fax, etc.Maintain knowledge of Company policies and proceduresPerform other claims related duties as assigned within the Claims departmentQUALIFICATIONSTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.10 key by touch. Knowledge of Microsoft Word and Excel a plusEDUCATION and/or EXPERIENCEHigh school diploma or general education degree (GED); and one year related experience and/or training; or equivalent combination of education and experience#LPIND

Keywords: ApolloMed, Monterey Park , Claims Coordinator, Other , Monterey Park, California

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