Claims Clerk- Bakersfield 1.1

Location: Bakersfield, CA. (Onsite)

Classification: Full-Time

This position is non-exempt and will be paid on an hourly basis.

Schedule: Monday-Friday 8am-5pm

Benefits:

· Medical 

· Dental 

· Vision 

· Paid Time Off (PTO)

· Floating Holiday 

· Simple IRA Plan with a 3% Employer Contribution

· Employer Paid Life Insurance

· Employee Assistance Program

Compensation: The initial pay range for this position upon commencement of employment is projected to fall between $18.60 and $23.24. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.

Position Summary:  

A Claims Clerk is an administrative support professional who is responsible for processing, distributing, and organizing incoming and outgoing mail, documents, and claims for the organization. 

 Job Duties and Responsibilities: 

• Mail Processing: Receive, sort claims and supporting documents according to company policy and procedures, date stamp, distribute all other incoming mail. 

• Identify claims lacking required information. 

• Scan, track and log all daily mail according to departmental policies and procedures. 

• Accurately identify and sort provider dispute 

• Data Entry: Input and maintain accurate records of all incoming and outgoing documents, including claims, applications, and supporting documents. 

• File Management: Maintain accurate and organized filing systems, including electronic and physical files, for all incoming and outgoing documents. 

• Customer Service: Respond to inquiries from customers and staff regarding claim status and location and provide general support and assistance as required. 

• Quality Control: Preform routine quality control checks to ensure accuracy and completeness of all incoming and outgoing documents. 

• Equipment Maintenance: Ensure that all mailroom equipment, including scanners, copiers, and printers, is in good working order and perform routine maintenance as required. 

• Compliance: Ensure compliance with all company policies and procedures, as well as state and federal regulations, including HIPAA. 

• Reporting: Prepare and maintain reports as required, including monthly statistics on incoming and outgoing mail and claims processing. 

• Other related duties as assigned. 

 Qualifications:

• Excellent attention to detail, organization, and communication skills. 

• High School diploma or equivalent. 

• Comprehension of claims processes and workflows. 

• Familiar with office equipment (including a photocopy machine, scanner, facsimile machine, etc.)  

• Proficiency in MS Excel, Word, and Outlook. 

• Ability to type 40 Words per minute (WPM) or 5,000 Keystrokes per Hour (KSPH). 

• One or more years working in a healthcare or other related business environment:  experience in medical billing services and/or a managed care environment preferred.  

• Ability to work independently and as part of a team in a fast-paced environment is essential.