What are the responsibilities and job description for the Claims Coordinator position at Unavailable?
Overview
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
Responsible for the verification of all claims that are scanned into OCT. Claims are scanned into one of three families : Anesthesia, COB, and Special batches. The verification examiner will verify each claim in the batch and the system will prompt the verifier to audit certain fields for accuracy and completeness.
Qualifications
Minimum Qualifications :
- High School Diploma / GED - High school diploma, GED, or equivalent. Combination of education and work experience may be considered.
- General understanding of IPA, EPO, and HMO structures, policies, and procedures, general knowledge of medical terminology, familiarity with database software and strong data entry skills arerequired, ability to read and comprehend basic instructions, correspondence, and memos. Ability to compose routine correspondence, able to effectively present information verbally, must beattentive to detail, accurate, thorough, and persistent in following through to completion of all activities, demonstrating initiative for completing work assignments, strong typing and data entry skills demonstrating a high level of accuracy, basic computer skills. Familiar with Microsoft Word, Excel & Outlook, knowledge of arithmetic, including ability to add, sub-tract, multiply and divide whole and fractional numbers. Willingness to work as part of a team, working collaboratively with others to achieve goals, solve problems, and meet established organizational objectives, ability to use the following general office equipment correctly and safely : desktop computer for data entry and typing, copy machine, scanner and facsimile machine, and of telephone equipment, ability to be reliable in attendance and timeliness to work schedules, ability to adhere to dress code, good grooming, and personal hygiene habits, ability to maintain knowledge of and conform to company policies and procedures, ability to maintain strict confidentiality at all times.
Preferred Qualifications :
