Prepare, submit, and follow up on healthcare claims per payer guidelines. Verify client and payer information, respond to inquiries, manage work queues, resolve underpayments, meet productivity and quality goals, and report compliance or system issues. Remote work requires high-speed internet and a dedicated workspace.
- Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines.
- Access client files and payer websites if necessary to verify information.
- Provide timely responses to all written correspondence inquiries regarding claim/account status.
- Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution. Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution.
- Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment.
- Complete all assignments according to schedule.
- Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards.
- Must have the ability to Identify/resolve claim and or payer issues as they occur.
- Perform other tasks as assigned to support the goals of the organization.
- Need high speed internet at home and dedicated work space.
#MBX
Pay Rate: $19-21 per hour
Qualifications Skills Required Time Management Advanced Microsoft Office Intermediate English written/verbal Advanced Customer Service Advanced Computer Skills Intermediate Claims Processing Intermediate Preferred Identify/Resolve Problems Advanced Typing Skills Min 35 wpm Intermediate Communication Skills Advanced Behaviors Preferred Thought Provoking: Capable of making others think deeply on a subject Team Player: Works well as a member of a group Enthusiastic: Shows intense and eager enjoyment and interest Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Dedicated: Devoted to a task or purpose with loyalty or integrity Education Required High School or better. Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
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- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
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