Claims Intake Coordinator

Job Description

Job Description

We are looking for a dedicated Claims Intake Coordinator to join our team in Ontario, California. This long-term contract position involves supporting the claims processing team by ensuring accurate intake, sorting, and preparation of medical claims for further handling. The role is vital in maintaining efficient workflows and providing support to healthcare providers across various regions.

Responsibilities :

• Open, sort, prioritize, batch, log, and track all incoming claims mail.
• Distribute claims according to market, priority, appeal status, scanning need, and health plan risk.
• Ensure all claims received are complete and ready for processing.
• Route unclean claims back to providers for correction.
• Forward out-of-state claims to the appropriate health plan for handling.
• Run the Claims Fallout process and distribute Fallout Worksheets via email to relevant departments.
• Assist with the distribution of checks (match checks with Explanation of Benefits, fold, and insert into correct envelopes).
• Match remittance advices with checks and prepare mailing.
• Reconcile processed batches within the audit database.
• Create denial trailers and mail denial letters accordingly.

Job Requirements

Education : High School Diploma or equivalent required.

Experience :

Technical Skills :

Other Skills :

Work Schedule :

Work Location : On-site in Ontario, CA (zip code 91764).