Los Angeles, CA2 days ago
ul>Reviews and corrects scanned claims documents upon receipt as well as enters coded information, checks claims for completeness and accuracy of information prior to final entry, while identifying and resolving inconsistences, and appropriately returns claims requesting missing information in accordance with established quantity, quality, and timeliness guidelines ensuring contract benefits are applied correctly, ultimately providing a high degree of customer satisfaction. Necessary Contacts: In order to effectively fulfill this position, the Claims Processor I must be in contact with: Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Membership and Billing, Administrative Services, and District Offices.