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Claims Support Specialist I
Claims Support Specialist IWestern Health Advantage • Sacramento, CA, US
Claims Support Specialist I

Claims Support Specialist I

Western Health Advantage • Sacramento, CA, US
2 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Summary Description :

The Claims Support Specialist I is responsible for processing claims mail, formatting spreadsheets, organizing scans, making copies, performing basic claims data entry, and completing provider remit updates.

Representative Duties :

  • Receive and distribute all inbound / outbound Claims mailings, including misdirected claims mailings and faxes.
  • Prepare business reports and correspondences regarding Claims.
  • Responsible for all inbound / outbound scan batches.
  • Compile and assemble information for provider packets.
  • Create, format and update spreadsheets.
  • Assist in basic claims processing
  • Perform data entry and clerical support to the department.
  • Perform other duties and special projects as assigned

Qualifications :

  • High school Diploma.
  • 1 year experience working with claims with an understanding of HMO division of financial responsibility (DOFR).
  • Strong typing skills and 10-key with speed and accuracy.
  • Experience working with Facets Application Software is a plus.
  • Intermediate computer skills, including electronic mail, routine database activity, word processing, spreadsheets, graphics, etc.
  • Must be able to speak, read, write, and understand the primary language(s) used in the workplace.
  • Salary :

    $20.00 - $21.00 Hourly

    Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law.

    Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.

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