Claims Processing Clerk, Sr. jobs in Bakersfield, CA
Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Processing Clerk, Sr. jobs
Claims Senior Support Clerk - Claims - 230
- KHS
-
Bakersfield, CA
FULL_TIME
- KHS reasonably expects to pay starting compensation for the position of Claims Senior Support Clerk in the range of $16.05 – $21.02 hourly. Our Mission.. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system. Definition Under direction of the Department Manager or Supervisor, performs a variety of administrative support functions including clerical and data entry functions. Assists with special projects as needed. Distinguishing Characteristics The Kern Health Systems (KHS) Senior Support Clerk is a full or part-time, hourly employee who is responsible for assisting the Manager, Supervisor, and department in a variety of clerical activities for a Knox-Keene licensed Health Maintenance Organization (HMO). Essential Functions ** Composes simple letters, memos, confidential reports, and completes standard forms from information received in handwritten or typed form, generally without being given specific oral or written instruction. ** Compiles information for logs; summarizes and types information retrieved from logs. ** Creates manual and electronic files; searches for files; retrieves information from files; monitors use of confidential and miscellaneous files and their contents; purges files and/or information from files; closes files. ** Sets up or revises filing systems; sorts and; files a variety of printed and/or recorded materials. ** Operates a variety of office machines such as, copier, facsimile, and multiple line telephone systems. ** Operates a microcomputer, employing various commercial software systems, and specialized department systems to accomplish data input, manipulation and output. ** Prepares a variety of departmental forms for approval as needed per company policy. ** Responsible for weekly, monthly, and quarterly reports as assigned. ** Assists in the development, organization and coordination of internal and external meetings. ** Reviews logs and updates computer system with departmental related information. ** Proofreads departmental communications. ** Maintains departmental inventory. ** Acts as departmental liaison. ** Obtains other insurance information and reports to Department of Health Services and Member Services. ** Assists with research and reporting of claims related information including TPL ** reporting, out of area and any other duties as needed. ** Print CSIM call report and distribute to appropriate staff. ** Distribute claims to staff received through Claims Workflow. ** Print system generated letters for staff, mail and or distribute to processor. ** Validate claims data in Correction and Completion module. ** Data entry claims data for Black and White claim forms. ** Handle daily quality control errors for Optical Character Recognition (OCR). ** Assist Support Clerks with opening, sorting and preparing claim batches for front end scanning as needed. ** Re-generate copy of check remittance advice upon request from providers and other departments within KHS organization. ** Maintain daily production log of documents validated. ** Distribute referrals to other departments within the organization. Other Functions ** Assists management staff and other departments in completing special projects, as assigned. ** Performs other job related duties as required. ** Adheres to all company policies and procedures relative to employment and job responsibilities. Employment Standards Education: High School Diploma from an accredited school or equivalent; diploma or GED certificate required. Typing skill of 30 WPM. Experience: Two (2) years’ office clerical experience preferably in the managed care and /or health insurance industry. Knowledge of: ICD-9 and CPT coding procedures. CMS1500 and UB04 claim forms. Excellent verbal and written communication skills. Knowledge of computerized on-line data entry systems, spreadsheets, and Microsoft Office applications or its equivalence. Must be highly motivated, organized, and flexible, and possess good time management skills. Ability to maintain high level of accuracy in data entry and report content.
- Just Posted
Contents Onsite Field Inspector - California
- Hancock Claims Consultants Technicians
-
Bakersfield, CA
CONTRACTOR
- At Hancock Claims Consultants, we are at the forefront of claims resolution services, offering nationwide coverage, swift and comprehensive claims inspections, and unparalleled quality and precision. ...
- 3 Days Ago
Field inspector
- Hancock Claims Consultants Technicians
-
Bakersfield, CA
FULL_TIME
- At Hancock Claims Consultants, we are at the forefront of claims resolution services, offering nationwide coverage, swift and comprehensive claims inspections, and unparalleled quality and precision. ...
- 4 Days Ago
Claims Manager
- Veterans Disability Help, LLC
-
Ridgecrest, CA
FULL_TIME
- This position is a FULL TIME CLAIM MANAGER, that is needed to fill immediately. All applicants will be interviewed in person. This job has an opportunity for full time employment, depending on the wor...
- Just Posted
Claims Analyst
- Innovative Integrated Health Inc.
-
Bakersfield, CA
FULL_TIME
- Job Summary: The Claims Analyst is responsible for monitoring liability claims, verifying and updating information on submitted claims. Reviews contract information and policies to determine which cha...
- 1 Month Ago
Clerk
- Personnel Solutions Unlimited, Inc.
-
Tipton, CA
FULL_TIME
- Job Title : Warehouse Clerk (Graveyard Shift)Location : Tipton, CAShift : Graveyard starting time 2 Position Type : Temporary to HirePay Rate : $22 / hr. We are currently seeking a Warehouse Clerk to ...
- 8 Days Ago
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0 Claims Processing Clerk, Sr. jobs found in Bakersfield, CA area
Administrative Support Assistant
- Department Of Agriculture
-
Pine Mountain Club, CA
- Summary This is an open and continuous announcement. See Additional Information section for more information. Applicatio...
- 5/9/2024 12:00:00 AM
Life Insurance Sales Representative
- Victory Financial Services
-
Bakersfield, CA
- Job Description Job Description Job Description: We are seeking a motivated and dedicated individual to join our team as...
- 5/9/2024 12:00:00 AM
Compliance Specialist
- Universal Healthcare MSO LLC
-
Bakersfield, CA
- Job Type Full-time Description Position Summary: The Compliance Specialist assumes a vital role at Universal Healthcare ...
- 5/9/2024 12:00:00 AM
Life Insurance Sales Representative - Remote
- Carter Enterprise, Inc
-
Bakersfield, CA
- Job Description Job Description We are seeking a Life Insurance Sales Representative to join our team! Remote / work fro...
- 5/8/2024 12:00:00 AM
Disability Claims Processor
- Kaiser Permanente
-
Bakersfield, CA
- Description: The Patient Business Services Disability Claims Processor is responsible for abstracting medical informatio...
- 5/8/2024 12:00:00 AM
Licensed Insurance Sales Producer
- Evans Insurance Services Inc.
-
Bakersfield, CA
- Company Description Evan's Insurance Services Role Description This is a full-time on-site role located in Bakersfield, ...
- 5/7/2024 12:00:00 AM
Remote Insurance Agent
- Propel Personnel
-
Bakersfield, CA
- Job Description Job Description Remote Insurance Agent Job Overview Join one of the nation’s leading Fortune 100 Insuran...
- 5/7/2024 12:00:00 AM
IN-HOME BEHAVIOR TECHNICIAN
- SPECIAL EXPLORERS CENTER
-
Bakersfield, CA
- Job Description Job Description Behavior Technician As a In-Home Behavior Technician you will be responsible for impleme...
- 5/5/2024 12:00:00 AM
About Bakersfield, California
Bakersfield is a city in and the county seat of Kern County, California, United States. It covers about 151 sq mi (390 km2) near the southern end of the San Joaquin Valley and the Central Valley region. Bakersfield's population is around 380,000, making it the 9th-most populous city in California and the 52nd-most populous city in the nation. The Bakersfield–Delano Metropolitan Statistical Area, which includes all of Kern County, had a 2010 census population of 839,631, making it the 62nd-largest metropolitan area in the United States. The more built-up urban area that includes Bakersfield and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$51,091 to $63,017
Bakersfield, California area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Claims Processing Clerk, Sr. do?
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Claims Processing Clerk, Sr. in Chattanooga, TN
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Claims Processing Clerk, Sr. in Asheville, NC
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
January 12, 2020