Claims Mailroom Support Clerk (Temp to Hire Benefits Included)

Alignment Healthcare

24d

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Claims Clerical-Mailroom Support Clerk is responsible for managing incoming mail from providers while ensuring a high level of accuracy. Requires the ability to multi-task while providing accurate and timely mail triaging and processing.

Requirements

At least one year of mailroom or clerical experience in a healthcare environment, along with entry-level claims processing experience.
High School Diploma or GED
Possess a strong team attitude.
Ability to multi-task.
Ability to remain focused and productive while performing tasks daily.
Ability to perform data entry.
Ability to travel between locations.
Ability to operate a telephone, computer, scanner, copier, fax machine, and other office equipment.
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.
Ability to perform mathematical calculations and calculate simple statistics correctly.
Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
Knowledge of computer programs and applications required.
The employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Nice To Haves

Medicare claim knowledge.
Medical Billing or Medical Front Office Assistant Certificate

Responsibilities

Opens, triages, and batches incoming mail & faxes.
Utilizes claim processing system to research provider and member status.
Attaches appropriate correspondence to member claims.
Keeps a daily log & count of all mail.
Processes daily pend, denial and claim forwarding correspondence.
Provides the requested documentation to internal departments and provider network (EOB, faxes, scanning, requests for letter copies).
Supports research projects through claims look-up and simple documentation via Excel spreadsheets.
Supports the needs of providers and claims team through professional communication that demonstrates the company culture.
Conducts outbound calls to research and gather information for provider data updates.
Participates in the Claims Department team meetings and other activities (as needed).
Ensures the privacy and security of PHI (Protected Health Information) as outlined in the department policies and procedures relating to HIPAA Compliance.
Performs other duties and projects as assigned.