Claims Assistant

Solugenix Corporation
Los angeles, CA
17 Feb 2025

Vacancy expired!

Claims Assistant

Los Angeles, CA (Onsite)

4 weeks contract

Job ID 2023-8245

Solugenix is assisting a client, a health insurance company, in their search for a

Claims Assistant. This is a 4 weeks-contract opportunity based out of Los Angeles, CA. The Claims Assistant supports the handling and routing of all documents received through the claims mailroom and the scanning of all paper claims into an electronic format. The Claims Assistant is responsible for opening, accurately counting, sorting the claims by claim type, and prepping the claims for scanning. They will assist with the scanning of all paper claims and documents into an electronic format. The Claims assistant will data enter pertinent information for tracking.

Qualifications:
  • High School Diploma/or High School Equivalency Certificate.
  • At least 0-6 months of mailroom experience, data entry, and clerical in a healthcare/managed care environment.
  • Must be very detail-oriented with the ability to accurately count and track claim documents throughout the mailroom process.
  • Must have very good Microsoft Excel skills with the ability to create calculations and charts.
  • Must be proficient in using Microsoft Word.
  • Must be able to work effectively within the mailroom by mentoring and coaching mailroom staff on correct procedures.

Responsibilities:
  • Processes incoming mail: Opens and dates stamp the mail; Sorts and counts mail receipts; Scans claims into the electronic document; Tracks claims receipts and apprises the department manager of high volumes; Forwards misdirected mail to the correct entity.
  • Ensures that paper claims and nonstandard documents are routed appropriately to our Plan Partners and internal departments within the required timeframe.
  • All incoming mail is counted, date stamped, and given to the correct party within 24 hours of receipt. (55%)
  • Photocopies and mails correspondence to internal departments, Plan Partners, submitting providers, Participating Physician Groups (PPGs), members, and other parties daily.
  • Scan/ Optical Character Recognition (OCR) of paper claims and verification process. Dispositions of mail and claims within 3 to 5 working days of receipt by the department. Scanned/OCR'd claims data has been verified against the document images. (15%)
  • Maintains the filing system within the department.
  • All claim-related information must be filed within seven working days. Files will be monitored to coordinate moving information to off-site storage. (10%)
  • Answered phone inquiries, provided clerical assistance to the claims department as needed, and ordered supplies.
  • Determines workloads and process flow to ensure compliance with regulatory agencies. (10%)
  • Perform other duties as assigned. (10%)

Pay Range for CA, CO, NJ, NY, WA: $22/hour to $23.50/hour. Starting rate of pay offered may vary depending on factors including but not limited to, position offered, location, education, training and/or experience.

About the ClientOur client is one of the world's leading health insurance company based out of Los Angeles, CA.

About SolugenixSolugenix is an information technology services company known for its deep experience and knowledge in providing comprehensive technology services, solutions, and talent support for companies around the world. The company offers a variety of cutting edge and talent support solutions to promote growth and cutting-edge advancement to our esteemed clients and candidates. We provide these talent support solutions on a contract, contract-to-hire, and direct hire basis. We also have additional resources from our staffing partners to ensure the right match and expertise for the best result.For over 50 years, global and local brands have trusted Solugenix as an added resource and partner in taking steps to ensure their immediate and future success. In addition to generating ground-breaking, industry-defining solutions, Solugenix has been delivering the talent and support needed to make it happen. We are dedicated to partnering with clients and candidates whose core values also foster a culture of professionalism, teamwork, and integrity.
  • ID: #49268986
  • State: California Los angeles 90002 Los angeles USA
  • City: Los angeles
  • Salary: $22 - $23.5
  • Job type: Contract
  • Showed: 2023-02-17
  • Deadline: 2023-04-15
  • Category: Et cetera