Claims Intake Coordinator

Overview

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.

Claims Intake Coordinator

Los Angeles, CA

The Claims Intake Coordinator is responsible for the initial data entry of received paper claims into the claims processing system in compliance with all regulatory guidelines as it relates to Claim. Acknowledgement Regulatory Turn Around Time Guidelines at 95% accuracy rate. Additionally, he/she identifies provider/vender and/or eligibility maintenance claim work queues for internal department review as needed. Incumbent also provides back-up as needed for clerical support Claims Department including but not limited to batching, sorting, monitoring and maintain claim batches for audit review, as well as answer claims inquiry status calls.

• Initial data entry of received paper claims into the claims processing system in compliance with regulatory guidelines.
• Acknowledgement of Regulatory Turn Around Time Guidelines at 95% accuracy rate.
• Identify provider/vendor and/or eligibility maintenance claim work queues for internal department review as needed.
• Provide back-up clerical support for the Claims Department including batching, sorting, monitoring and maintaining claim batches for audit review.
• Answer claims inquiry status calls.

• Minimum of 2 years of medical claims customer service experience in an HMO environment (i.e., MSO, IPA or Health Plan).
• High School Diploma, GED or Equivalent.
• At least 1 year of data entry experience is required.
• Experience working in a medical billing office or health plan is preferred.
• Must be able to key between 6,000 and 8,000 keystrokes or type 40 – 50 WPM with high accuracy for alpha and numeric data inputting.
• Working knowledge of Microsoft Windows, MS Word and MS Excel.
• Must be detailed oriented, attentive, organized, and able to follow directions. Experience with medical terminology is a definite plus.
• Basic knowledge of ICD
  10, HCPCS and CPT codes.
• Knowledge of basic concepts of managed care.
• Ability to effectively manage multiple tasks.
• Ability to write and to verbally communicate effectively.
• Ability to be flexible and adaptable.
• Ability to work autonomously.
• Excellent customer service skills.

Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.