Mail Clerk receives, sorts and distributes incoming mail. Collects and processes outgoing mail. Being a Mail Clerk operates postage machine and other mailroom equipment as needed. Typically requires a high school diploma or its equivalent. Additionally, Mail Clerk typically reports to a Mailroom Supervisor. The Mail Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Job Title: Mailroom/Claims Support Clerk - In-office
Location: Rancho Cordova, California
Summary: The Mailroom/Claims Support Clerk is a key part of a successful operation for Lucent Health. The Mailroom/Claims Support Clerk is in daily contact with all team members, managers, directors and executive level members. This position reports to the Appeals Supervisor and is responsible for reviewing, analyzing and routing claims for pre services and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non-clinical services, quality of service and quality of care issues to include executive and regulatory. Attention to detail, organization, self-direction, and the ability to meet time deadlines are essential qualities of this position. Attendance directly impacts the satisfaction level of our clients, the productivity of our staff and the retention of our accounts.
Essential Duties and Responsibilities: (Other duties may be assigned)
Supervisory Responsibilities: This job has no supervisory duties.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: Previous Claim processing experience is required. Have thorough knowledge of coding structures (CPT, HCPCS, Revenue codes, ICD 9/10 etc.); as well as COB payments and distribution of funds. Ability to understand all types of claims pricing (Network, Medicare, UCR etc.)
Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports, and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills: To perform this job successfully, an individual should have knowledge of Internet software and the Microsoft Office Suite of products. Knowledge of basic office equipment should include: Internet and email, copy and fax machines, postage meter and telephone.
Physical and Emotional Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The inability to cope with a stressful work environment does not constitute a protected disability.
While performing the duties of this job, the employee is frequently required to sit. The employee is required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, and talk or hear. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually quiet
Clear All
0 Mail Clerk jobs found in Sacramento, CA area