Jobs
>
Los Angeles

    Claims Data Entry Clerk II - Los Angeles, United States - L.A. Care Health Plan

    L.A. Care Health Plan
    L.A. Care Health Plan Los Angeles, United States

    3 weeks ago

    Default job background
    Full time
    Description

    Salary Range: $45, Min.) - $47, Mid.) - $55, Max.)

    Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

    Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

    Job Summary


    The Claims Data Entry Clerk II is responsible for the accurate and timely data entry of claims and other documents, which includes: Keying claims for all lines of business, including complex claims. Data Entry of Claims in Core adjudication system. Checking the eligibility of members of services in order to sort claims by product. Scanning and sorting medical records. Reviewing claims for required information, returning claims to the provider when necessary. Preparing reports and ensuring that reports are accurate and generated within specified timeframes.

    Duties

    Creates and sends Rejection letters to the providers for the rejected Claims with 98.5% accuracy. Follows LA Care (LAC) policies and procedures. Keeps current with incoming daily receipts. Meets production standards. (50%)

    Accurately sorts based on department procedures. Keeps current with incoming daily receipts. (25%)

    Performs special projects and ad-hoc reporting as necessary. Projects are complete and reports are generated within the specific time frame agreed upon at the time of assignment. (15%)

    Performs other duties as assigned. (10%)

    Duties Continued

    Education RequiredHigh School Diploma/or High School Equivalency Certificate

    Education Preferred

    Experience

    Required:
    At least 6 months of accurate, high-volume claims data entry or claims processing experience.

    Preferred:
    Managed care or Medi-Cal claims experience.

    Skills


    Proficient in Microsoft Office

    Strong verbal and written communication skills

    Licenses/Certifications Required

    Licenses/Certifications Preferred

    Required Training

    Preferred:
    Claims Examiner Training

    Physical RequirementsLight

    Additional Information

    Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

    L.A. Care offers a wide range of benefits including

  • Medical, Dental and Vision
  • Wellness Program
  • Paid Sick Leave

  • Smart Stack Impact

    Data Entry Clerk

    2 weeks ago

    Smart Stack Impact Los Angeles, United States

    **Position**: Data Entry Clerk · **Location**: Los Angeles, CA · Welcome to Smart Stack Impact, where we redefine the boundaries of Public Relations with innovation, creativity, and an unwavering commitment to excellence. As a leading PR agency, we are dedicated to elevating bran ...

  • Sciolex Corporation

    Data Entry Clerk

    1 week ago

    Sciolex Corporation Los Angeles, United States

    Overview: · What do you get when you bring together a team of bright individuals and place them into an environment where "work" means making a difference in the lives of people across the globe? · You get **Sciolex Corporation**, a fast-growing defense contractor focused on prov ...

  • Mid-Wilshire Management

    Data Entry Clerk

    2 weeks ago

    Mid-Wilshire Management Los Angeles, United States

    Workers' Compensation medical billing office is presently seeking for an enthusiastic professional individual, who is well organized, responsible, and highly motivated. The position requires you to have some knowledge in Workers' Compensation medical billing, inputting data entry ...

  • Zoom Vibe Co

    Data Entry Clerk

    6 days ago

    Zoom Vibe Co Los Angeles, United States

    **About Us**: · At Zoom Vibe Co, we're not just a videography company; we're your visual storytellers, your memory-makers, and your partners in capturing life's most precious moments. With a passion for creativity and an eye for detail, our team of skilled videographers is on a m ...

  • Wide Merchant Group

    Data Entry Clerk

    2 weeks ago

    Wide Merchant Group Los Angeles, United States

    _Data Entry _ · **SUMMARY OF FUNCTIONS** · Maintains and update the database by entering data. Responsible for performing data entry work using a computer and appropriate software, entering, updating, researching, verifying and retrieving data into/from various systems, and ensur ...

  • TORKAN & FARZINPOUR, LLP

    Data Entry Clerk

    2 weeks ago

    TORKAN & FARZINPOUR, LLP Los Angeles, United States

    Job Summary: · We are seeking an intake clerk, must be bilingual, fluent in Spanish and English. Job duties will include talking to potential clients, opening files, answering phone calls, making doctor's appointment and e-filing documents. Will train.Pay: $ $22.00 per hour · Exp ...

  • Golden King Transport Inc

    Data Entry Clerk

    2 weeks ago

    Golden King Transport Inc Los Angeles, United States

    Job Overview: · **Responsibilities**: · - Input and update data into computerized databases and systems · - Transcribe information from paper documents into electronic files · - Perform clerical duties such as filing, photocopying, and scanning documents · - Ensure accuracy and c ...

  • EFFi Foods

    Data Entry Clerk

    2 weeks ago

    EFFi Foods Los Angeles, United States

    Job Summary: · **Responsibilities**: · - Input and update data into databases with precision and speed · - Verify accuracy of data by comparing it to source documents · - Retrieve data from the database or electronic files as requested · - Perform regular data backups to ensure i ...

  • Miranda Logistics

    Data Entry Clerk

    4 days ago

    Miranda Logistics Los Angeles, United States

    Staffer's Unlimited is hiring · **About Us**: · **Responsibilities**: · - Transferring data from paper formats into computer files or database systems · - Typing in data provided directly from customers · - Creating spreadsheets with large numbers of figures without mistakesVerif ...

  • Health Right 360

    Data Entry Clerk

    3 days ago

    Health Right 360 Los Angeles, United States

    HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment. · **Benefits and perks**: · - HR360 offers ...

  • Miranda Logistics Enterprise, Inc.

    Billing Clerk/data Entry

    4 days ago

    Miranda Logistics Enterprise, Inc. Los Angeles, United States

    Please Read the About Us and Job Responsibilities Section diligently · About Us: · **Responsibilities**: · We are looking for a reliable Billing Clerk to perform tasks that will help us monitor our revenues. You will be responsible for preparing invoices and updating records. As ...

  • KCS, Inc.

    Data Entry Clerk

    3 weeks ago

    KCS, Inc. Anaheim, United States

    **ABOUT THE POSITION** · Are you passionate about making a meaningful impact on community health? We're seeking a dedicated Data Entry Clerk to join our team. As a Data Entry Clerk, your primary responsibility is for the accurate entry and verification of billing claims data. Thi ...

  • L.A. Care Health Plan

    Claims Data Entry Clerk Ii

    3 days ago

    L.A. Care Health Plan Los Angeles, United States

    Claims Data Entry Clerk II · **Job Category**:Claims**Department**:Claims Data and Support Services**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11307**Salary Range**: $45, Min.) - $47, Mid.) - $55, Max.)- Established in 1997, L.A. Care Heal ...

  • Wellcare Pal

    Data Entry Clerk

    3 weeks ago

    Wellcare Pal San Gabriel, United States

    Wellcare PAL is looking for a Data Entry Clerk in a Pharmacy store located in San Gabriel. In-person is required. · Excellent job for freshly graduated students looking to get some data experience in the pharmaceutical/health industry. · '''Duties''' · - Enter data into computer ...

  • Volunteers of America Los Angeles

    Data Entry Clerk Ii South La

    1 week ago

    Volunteers of America Los Angeles Los Angeles, United States

    **_VOALA_** · **_Helping Our Most Vulnerable Change Their Life Stories_** · **PAY RATE**: $ $20.57 PER HOUR · **Head Start** · Through our Head Start and Early Head Start programs, we work with children (infant - 5 years old) and their families to provide the skills, confidence a ...

  • HealthEcareers - Client

    Entry Clerk

    3 weeks ago

    HealthEcareers - Client Los Angeles, United States Full time

    Job Summary: · Under direct supervision, provides basic clerical functions for department.Essential Responsibilities: · This description is for recruitment posting purposes only. It has not received full HR review and approval. · - Upholds Kaiser Permanentes Policies and Proced ...

  • Employee Force Provider

    Data Entry Clerk

    3 weeks ago

    Employee Force Provider Pico Rivera, United States

    **DATA ENTRY CLERK NEEDED IN PICO RIVERA** · **Document storage company in need of Data Entry Clerks to join their team.** · **Duties include entering physical data into digital database.** · Hours are 8:00am - 5:00 pm with 1-hour lunch which is from 12:00 pm-1:00 pm · Below are ...

  • SSHA

    Him Clerk/ Data Entry Clerk

    2 weeks ago

    SSHA Pasadena, United States

    Overview: · We are seeking a detail-oriented and organized individual to join our team as a Health Information Management Clerk. As a Health Information Management Clerk, you will play a crucial role in maintaining accurate and confidential patient records. This is an administrat ...

  • Kaiser Permanente

    Entry Clerk

    4 days ago

    Kaiser Permanente Panorama City, United States

    **Job Summary**: · Under direct supervision, provides basic clerical functions for department. · **Essential Responsibilities**: · This description is for recruitment posting purposes only. It has not received full HR review and approval. · - Upholds Kaiser Permanentes Policies a ...

  • MedPOINT Management

    Data Entry Clerk

    2 weeks ago

    MedPOINT Management Woodland Hills, United States

    **Summary**: · The Data Entry Clerk provides effective coordination by uploading clinical service requests into database. Communicates with IPA and Providers to ensure timely, accessible care/ services to members. Reports directly to the Outpatient Lead Coordinator under the guid ...