Claims Coordinator

Claims Coordinator needed for a contract opportunity with Yoh’s client located in Newark, CA!
Top Skills Should You Possess:

• High School Diploma or GED equivalent Required 
• Basic understanding of Microsoft Word and Excel applications.
• Basic knowledge of and working experience with ICD-9, ICD-10, CPT and HCPC coding systems.
• Basic knowledge of medical terminology, enrollment and membership activities and claim processing procedures/systems

 
What You’ll Be Doing:

• Claims mail processing:
• Responsible for complete adjudication of professional and institutional complex medical claims in accordance with departmental, health plan, and regulatory timelines and accuracy standards.
• Assist with Health Plan audits.
• Responsible for interpreting and understanding established University Healthcare Alliance claims polices & procedure and process documentation.
• Meet established departmental quality, production, and turnaround time performance benchmarks.
• Utilizes appropriate reference materials and policies to research information and process claims accurately.
• Assist with training new and existing claim coordinators.
• Responsible for sending out daily inventory updates.
• Acknowledge and understand all information discussed at staff meetings and fully comprehend updates and in-service training.
• Manage workflows/ assignments and perform duties with reasonable independence.
• Make significant contributions to the work team and demonstrates full competence in own work area.
• All other duties as assigned including department-specific functions and responsibilities:
• Performs other duties as assigned and participates in organization projects as assigned.

What You Need to Bring to the Table:

• High School Diploma or GED equivalent Required 
• Basic understanding of Microsoft Word and Excel applications.
• Basic knowledge of and working experience with ICD-9, ICD-10, CPT and HCPC coding systems.
• Basic knowledge of medical terminology, enrollment and membership activities and claim processing procedures/systems
• Ability to work independently, organize, and prioritize work assignments.
• Independent decision-making skills and demonstrate initiative to resolve issues.
• Basic oral and written communication skills, great organizational skills and ability to prioritize projects.
• Ability to exercise good judgment and handle a fast-paced environment.
• Able to assess and coordinate departmental work flows effectively

 
Any pay ranges displayed are estimations which may have been provided by job boards.  Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description.  All qualified applicants are welcome to apply.
What’s In It For You?
We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities.

• Medical, Dental & Vision Benefits
• 401K Retirement Saving Plan
• Life & Disability Insurance
• Direct Deposit & weekly EPayroll
• Employee Discount Programs
• Referral Bonus Programs

What are you waiting for?  Apply Now!
Recruiter:  Arlet Khachikyan

 

Note: Any pay ranges displayed are estimations.  Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description.  All qualified applicants are welcome to apply.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Visit https://www.yoh.com/applicants-with-disabilities to contact us if you are an individual with a disability and require accommodation in the application process.

Founded in 1940, Yoh operates from 75 locations throughout North America and is headquartered in Philadelphia, PA. Yoh was the nation’s first technology staffing firm. As a business unit of Day & Zimmermann, Yoh has a flourishing global footprint, as our parent company operates from more than 150 worldwide locations.
Company Website: https://www.yoh.com/