Claims Mailroom Clerk - Bakersfield, United States - Kern Health Systems

Kern Health Systems
Kern Health Systems
Verified Company
Bakersfield, United States

1 week ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

KHS reasonably expects to pay starting compensation for the position of Claims Mailroom Clerk in the range of $ $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 the direction of the Claims Administrative Supervisor this position is responsible for handling a variety of entry level functions.

This position is also responsible for scanning, faxing, and filing all records and departmental documents, processing print jobs for the department, and maintaining the department filing system.

Distinguishing Characteristics
This position is responsible for entry level clerical functions for a Knox-Keene licensed maintenance organization (HMO).

Essential Functions

  • Process incoming and outgoing mail which includes disputes, claims, and correspondences.
  • Date stamp each piece of mail with current date.
  • Keep track of certified mail received by documenting what was in the certified envelope and updating certified excel spread sheet
  • Sort claims and attachments by the sub type
  • Print and log DCN numbers
  • Review claims for errors
  • Prep and batch the claims to be scanned by removing staples, keeping attachments with the claims, counting, and making coversheets for each batch
  • Create letters and mail to providers for claims and disputes that have errors
  • Updating number of claims and disputes received in spread sheets
  • Sort, prep, and batch disputes to be scanned
  • Scan, index, and file claims and disputes
  • Shredding disputes once they are worked
  • Backend scanning and indexing
  • Keeping the mail room stocked with supplies
  • Making copies of scanfinity barcodes and batch cover sheets
  • Verifying scanned correspondences made it into Mfiles
  • Pull disputes as requested by team who assigns disputes, and ensure dispute counts are updated after doing so
  • Forwarding letters to the overpayment team when received
  • Stamping envelopes
  • Printing or shredding remote staff's mailboxes when requested
  • Maintain departmental filing system.
  • Maintain Mail back log
  • Mange the mail back bin to ensure things are correctly mailed back and timely
  • Print Letters from printer bin for offsite claims staff and mail them
  • Keep record in files of all documents that are pulled.
- load paper in various printers and fax machines.

Other Functions

  • Assist with photocopying projects as needed.
  • Assist with special projects as needed.
  • Performs other jobrelated 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.


Experience:
Minimum one (1) year office experience.


Knowledge of:
Proper ergonomics for lifting and bending. General knowledge and use of basic office equipment including computers. Knowledge of excel a plus.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.
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