Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
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
EMPLOYMENT SCAM ALERT:
UCLA Health Recruitment is currently being targeted by scam artists through external job board sites. Review some tips in order to avoid becoming targeted. El reclutamiento de salud de UCLA actualmente está siendo atacado por estafadores a través de sitios de juntas de trabajo externos. Revisar algunos consejos para evitar ser apuntado.
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VINCENT, Sr. CLS Specialist, Toxicology
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
RENE
If you want to grow professionally, this is the right place for you.
ERA
We are family here. We support each other. We collect together.
ELIZABETH
It’s so diverse and inclusive here. There’s always the opportunity to share your thoughts. It's a place where you feel you belong.
JERRY
Your career path at UCLA Health will enable you to follow a myriad of avenues and turns. It opens up a wide variety of opportunities.
ORLANDO
There’s a togetherness and higher level of commitment to teamwork at UCLA Health. We are several groups and teams that work together with a common goal which is to improve our patients experience.
DAVID
UCLA Health walks the walk and talks the talk! It's an incredible feeling to work for an organization that always puts the patient first. I am honored to work in full alignment with the UCLA Health Mission and Vision.
DR. ISLA GARRAWAY
UCLA has incredible resources and a team science approach. The ability to work with collaborative teams and access the amazing resources around campus is the best part about being at UCLA.
RADU
UCLA is very diverse in its personnel as well as its many research fields studied
JENNA
UCLA Health provides so many opportunities to exchange ideas, share moments and grow. I have learned a lot about team management and relationship building.
SHARON
I was looking for a job to further my career and continue to improve and learn as a therapist.
TARO
I have been blessed to be surrounded by supportive colleagues who aspire me to be the best version of myself.
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