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General Information

Work Location: Los Angeles, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday-Friday, 8:00am-5:00pm PST
Posted Date
05/01/2025
Salary Range: $25.6 - 36.33 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
24083

Primary Duties and Responsibilities

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.
Salary Range: $25.60-$36.33/hourly

Job Qualifications

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
 

As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.