claims clerk

HealthTexas Medical Group

<div><div>The Claims Clerk is responsible for performing clerical and administrative duties that support the efficient operation of the claims department, including claims intake, documentation management, EDI support, vendor correspondence, and other duties as assigned.</div>
<div>In addition, you will be responsible for contributing to the growth and success of HealthTexas while upholding our Mission, Vision and Values.</div>
<div></div><div>Culture and Values Expectations</div>
<div>At HealthTexas, we believe that our workplace culture is the cornerstone of our success. We are committed to fostering an inclusive, collaborative, and innovative environment where every Associate feels valued, empowered and motivated to reach their full potential. Our culture is the driving force behind our mission &ldquo;to deliver quality and compassionate care with outstanding service, every patient, every time&rdquo;. As a Billing Specialist at HealthTexas we expect you to embody and promote our Values and defined behavioral expectations.</div>
<ul><li>Integrity: Do the right thing, the right way, every time.
<ul><li>Be honest and uphold commitments and responsibilities, earn the trust and respect of the team and those we serve, and maintain privacy and confidentiality.</li>
</ul></li><li>Compassion: Treat everyone with respect and dignity.
<ul><li>Foster an environment of inclusivity and well-being, practice patience and empathy, and assume positive intent.</li>
</ul></li><li>Synergy: Collaborate to improve outcomes.
<ul><li>Invite and explore new opportunities, promote effective communication and teamwork, take pride in yourself, your work and HealthTexas.</li>
</ul></li><li>Stewardship: Use resources responsibly and efficiently.
<ul><li>Implement effective strategies to attain goals, achieve maximum productivity and results, and seek continuous knowledge and improvement.</li>
</ul></li></ul><div></div><div>Essential Job Duties &amp; Responsibilities</div>
<ul><li>Vendor Communication
<ul><li>Answering phones, addressing vendor inquiries, redirecting the vendor to the portal, or redirecting calls to the appropriate person/department.</li>
</ul></li><li>Claims Intake &amp; System Support
<ul><li>Data entry of paper claims.</li>
<li>Monitor clearinghouse reports for rejected or failed claim submissions and escalate issues for resolution.</li>
<li>Perform EDI claim file uploads, verify successful transmission, and monitor for failed intake, addressing issues or escalating as appropriate.</li>
</ul></li><li>Refunds, Recoupments, &amp; Reconsiderations
<ul><li>Assist with tracking and logging vendor reconsiderations received through mail, fax, or portal.</li>
<li>Maintain logs of vendor refund checks and ensure appropriate routing to the accounting or payment posting team as required.</li>
<li>Track recoupment letters and process refunds or initiate recoupment in accordance with established procedures.</li>
</ul></li><li>Mail &amp; Documentation
<ul><li>Retrieve, open, and disseminate mail received in accordance with established procedures.</li>
<li>Investigate and resolve returned vendor checks in accordance with established procedures.</li>
<li>Fold, stuff, and post vendor paperwork.</li>
<li>Print and mail specific claims to correct payer.</li>
<li>Identify and report misdirected claims or correspondence for appropriate routing.</li>
<li>File maintenance, to include boxing up files to be sent to a secure storage area.</li>
<li>Scan and index claim-related correspondence into the claims system or designated shared drive.</li>
<li>Assist with preparation of claim documentation for internal audits or health plan audits.</li>
<li>Assist in maintaining departmental logs and tracking spreadsheets used for operational reporting.</li>
</ul></li><li>Perform other duties as assigned to support the efficient functioning of the claims department.</li>
</ul>
<div></div><div>Experience</div>
<ul><li>1+ years of medical administrative experience in a physician office or other medical facility setting</li>
<li>Attention to detail</li>
<li>Experience with claims adjudication software (EZ-Cap preferred, but not required)</li>
</ul>
<div></div><div>Education</div>
<ul><li>High School Diploma/GED</li>
</ul>
<div></div><div>Knowledge, Skills &amp; Abilities</div>
<ul><li>Working knowledge of Microsoft Office and Teams.</li>
<li>Maintain strict confidentiality of protected health information (PHI) in accordance with HIPAA regulations and organizational policies.</li>
</ul>
<div></div><div>Work Hours, Travel Requirements</div>
<ul><li>Monday &ndash; Friday, 8:00 a.m. &ndash; 5:00 p.m., and as needed to complete projects.</li>
<li>Travel to administration office may be necessary.</li>
</ul>
<div></div><div>Working Conditions &amp; Physical Requirements</div>
<ul><li>This job operates in an office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanners, filing cabinets and fax machines.</li>
</ul>
<div></div><ul><li>The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, lift boxes of files, open filing cabinets and bend or stand on a stool as necessary. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.</li></ul></div><div></div>

Claims Clerk

Avis Budget Group

<div>Description:

We are looking for a detail-oriented and organized Claims Clerk to join our fast-paced team. This role is essential to maintaining the quality and safety of our rental fleet by managing the end-to-end glass claims process and supporting daily fleet operations. You will be the primary point of contact for glass-related damages, ensuring repairs are completed efficiently to keep our vehicles ready for customers.
Benefits:
Full benefits after 60 days of employment: health, dental and vision insurance.
Paid time off.
Paid vacation hours.
Paid holidays.
Opportunities for career advancement within the company.
401K retirement benefits with company match.
Build your skillset.
Key Responsibilities:
Glass Claims Management:<ul><li>
Initiate and set up claims for vehicle glass damage in the internal system.</li><li>
Coordinate with vendors for windshield replacements and rock chip repairs.</li><li>
Conduct vehicle inspections to identify new glass damage and document findings.</li></ul>
Documentation &amp; Digital Records:<ul><li>
Take clear, high-quality photos of damages and upload them to the claims system.</li><li>
Manage and upload all necessary repair documents, invoices, and claim forms.</li></ul>
Fleet Support:<ul><li>
Assist with infleeting (bringing new cars into service) and outfleeting (removing cars from service) as needed.</li><li>
Coordinate the movement of vehicles between locations and maintain accurate records of car movements.</li></ul>
Administrative Duties:<ul><li>
Process invoices and maintain precise records for car registrations, license plates, and keys.</li><li>
Email &amp; Phone Correspondence: Communicate professionally and effectively via email and phone with internal teams and external vendors</li><li>
General clerical support to ensure smooth daily operations within the fleet department.</li></ul>
Physical Requirements:<ul><li>
Ability to move throughout the location and drive a variety of vehicles as needed.</li><li>
Capable of sitting, typing, and using a computer for extended periods for administrative tasks.</li></ul>
Family owned and operated for over 45 years we are the largest car rental franchise in the United States. Hands down we have the best and most confident team in the industry. We are a global brand combined with entrepreneurial benefits. We don&rsquo;t believe in many levels of hierarchy. From our corporate office to every location, each employee is essential to our operation. People are our greatest asset.
Requirements:
<ul><li>Valid Driver&rsquo;s License with a clean driving record.</li><li>
Strong attention to detail, particularly in identifying vehicle damage and managing paperwork.</li><li>
Proficiency with Microsoft Office (Word, Excel) and the ability to quickly learn proprietary claims software.</li><li>
Ability to work in a fast-paced environment and handle multiple tasks simultaneously.</li><li>
Willingness to work outdoors on occasion to inspect or move vehicles.</li><li>
High School Diploma or GED; prior experience in auto claims or rental operations is a plus.</li></ul></div>

South Texas Radiology Group, P.A.

Job Title: Correspondence and Insurance Claims Clerk Department: Accounts Receivable Location: San Antonio, Texas Reports To: Supervisor, Accounts Receivable FLSA Status: Non-exempt Summary of Position: The Correspondence and Insurance Claims Clerk is responsible for efficient, timely, processing of Requests for Information (RFI), etc. and ensuring that all activity dealing with correspondence has been documented. As well as a final review and mailing of paper insurance claims on a timely basis as outlined in procedures for the processing of primary, secondary, Workers&rsquo; comp and rebilled claims. The CICC will provide clerical support to the Credit Balance Department and will be the back up to the Front Desk Position. Job Responsibilities: Employee must adhere to STRG Policies and Procedures at all times Prepare and mail out paper claims to appropriate payers Post all assigned correspondence into the practice management system accurately and in a timely manner Input denial codes on accounts, taking adjustments when appropriate. Enter notes on patient accounts. Transfer to supervisor if necessary Process RFIs by mailing, faxing, etc. as indicated on the request each day. Report to supervisor any requests received that do no allow enough time to respond by deadline on letter Handle Waystar appeals by reviewing claims, preparing necessary documents and submitting appeals for Coordination of Benefits Pull Remittance Advices (RAs) and reconcile them with the practice management system, ensuring all payments and denials are correctly posted Reconcile received checks with the practice management system, to ensure payment accuracy Separate the claims by primary, secondary and Worker&rsquo;s Comp Communicate with team members and supervisors to resolve any discrepancies related to paper claims, correspondence and reconciliations Notify supervisor of consistent discrepancies Maintain compliance with all regulatory requirements for claim processing, correspondence handling, and appeals Prepare and maintain daily, weekly, and monthly reports on correspondence, claims processed, and reconciliations completed Work assigned work queus related to missing correspondence Convert virtual credit card payments into paper checks for accurate posting and reconciliation Maintain strict confidentiality of patient protected health information as mandated by STRG procedures and HIPAA Privacy, Security and HITECH regulation Perform other duties as required Supervisory Responsibilities: None Experience / Skill Requirements: Formal training which will probably be indicated by a high school diploma or equivalent; one year medical insurance experience; familiarity with CMS 1500 form. Ability to operate a computer; operate standard office machines such as a copier and fax; 10 key by touch at a standard rate of 140 keystrokes per minute. Education: High School Diploma or GED Attendance / Work Schedule: Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include &quot;light duty&quot; work or allow unpredictable or unrestricted absences.

Correspondence & Insurance Claims Clerk

Boyd Gaming Corporation

<div>Company Description 
Boyd Gaming Corporation has been successful in gaming jurisdiction in which we operate in the United States and is one of the premier casino entertainment companies in the United States. Never content to rest upon our successes, we will continue to evolve and retain a position of leadership in our industry. Our past success, our current business philosophies and our sound business planning, combine to position Boyd Gaming Corporation to maximize value for our shareholders, our team members and our communities. 
Additional Information 
Boyd Gaming is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.<div></div>
Boyd Gaming is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.</div>

Trean Corporation

<div>Description:

POSITION SUMMARY:
The Coverage/Intake Clerk will complete the intake of new claims and verify coverage, and update policies. This position will input new incidents and new claims into the claims system which are received via the mail, fax, or e-mail while maintaining the FROI Folder.
KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS:
1. Open, categorize and sort incoming claims via mail, e-mail, and faxes. (FROI Folder)
2. Verify coverage by reviewing the policy portal and making necessary phone calls as needed.
3. Responsible for entering and updating policies.
4. Policy corrections
5. Updating critical fields within the claims system.
6. Communication with Underwriting Department as needed
7. Enter all claims data into system and attaching all claim material received into the claims system.
8. Assign completed claims to appropriate Supervisor.
9. Send acknowledgment letter to Employee upon new claim set up.
10. Other duties as assigned by Supervisor.
Requirements:

QUALIFICATIONS:<ul><li>
Excellent data entry skills.</li><li>
Ability to operate e-mail and fax.</li><li>
Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality and efficiency.</li><li>
Consistently at work and on time.</li><li>
Follows instructions, responds to management direction</li><li>
Should be customer driven.</li><li>
Excellent research and investigation skills.</li><li>
Ability to clearly express decisions, and rationale.</li><li>
Excellent written and verbal communication skills.</li><li>
Excellent interpersonal skills with a diverse group of contacts.</li><li>
Maintains confidentiality as well as a high degree of professional integrity.</li><li>
Ability to provide a high level of customer service while working in a fast-paced environment.</li><li>
Demonstrated attention to detail with excellent organizational and prioritization skills.</li></ul></div>

Coverage/Intake Clerk

Alignment Healthcare

<div>Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
This position is in our Orange County office. 
The Claims Clerical-Mailroom Support Clerk is responsible for managing incoming mail from providers while ensuring a high level of accuracy. Requires the ability to multi-task while providing accurate and timely mail triaging and processing.
Job Responsibilities:<ul><li>
Opens, triages, and batches incoming mail &amp; faxes.</li><li>
Utilizes claim processing system to research provider and member status.</li><li>
Attaches appropriate correspondence to member claims.</li><li>
Keeps a daily log &amp; count of all mail.</li><li>
Processes daily pend, denial and claim forwarding correspondence.</li><li>
Provides the requested documentation to internal departments and provider network (EOB, faxes, scanning, requests for letter copies).</li><li>
Supports research projects through claims look-up and simple documentation via Excel spreadsheets.</li><li>
Supports the needs of providers and claims team through professional communication that demonstrates the company culture.</li><li>
Conducts outbound calls to research and gather information for provider data updates.</li><li>
Participates in the Claims Department team meetings and other activities (as needed).</li><li>
Ensures the privacy and security of PHI (Protected Health Information) as outlined in the department policies and procedures relating to HIPAA Compliance.</li><li>
Performs other duties and projects as assigned.</li></ul>
Job Requirements:
Experience:
Required: At least one year of mailroom or clerical experience in a healthcare environment, along with entry-level claims processing experience.
Preferred: Medicare claim knowledge.
Education:
Required: High School Diploma or GED
Preferred: Medical Billing or Medical Front Office Assistant Certificate
Specialized Skills:<ul><li>
Required: Possess a strong team attitude.</li><li>
Ability to multi-task.</li><li>
Ability to remain focused and productive while performing tasks daily.</li><li>
Ability to perform data entry.</li><li>
Ability to travel between locations.</li><li>
Ability to operate a telephone, computer, scanner, copier, fax machine, and other office equipment.</li><li>
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.</li><li>
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.</li><li>
Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly.</li><li>
Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.</li><li>
Computer Skills: Knowledge of computer programs and applications required.</li></ul>
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $41,600.00 - $57,600.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.<ul><li>DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health&rsquo;s talent acquisition team, please email careers@ahcusa.com.</li></ul></div>

Claims Mailroom Support Clerk (Temp to Hire Benefits Included) - Orange County

R+L Carriers

<div>R+L Carriers has immediate need for an Appointment Clerk to work in our Chicago, IL Service Center office. Responsibilities will include answering calls on a multi-line system, data entry, scheduling delivery appointments, and assisting customers with pickups. Other duties may apply as requested by management
 Monday - Friday, 8am-5pm, $18.20 hr.
Earn 1 week of vacation after 90 days of employment and enjoy an excellent benefits package that includes our very own employee resorts
Come and experience the difference with R+L Carriers 
R+L Carriers has immediate need for an Appointment Clerk to work in our Chicago, IL Service Center office. Responsibilities will include answering calls on a multi-line system, data entry, scheduling delivery appointments, and assisting customers with pickups. Other duties may apply as requested by management
R+L Carriers - Women in Trucking
Company Culture
 Requirements:
<ul><li>Ability to multitask and have a sense of urgency
</li><li>Ability to type 30 WPM with accuracy
</li><li>Dependable and well organized
</li><li>Must be computer literate
</li><li>Possess strong office, telephone, and communication skills</li></ul></div>

Appointment Clerk

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4073 claims clerk jobs Near Me

Claims Clerk

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Claims Mailroom Support Clerk (Temp to Hire Benefits Included) - Orange County

Appointment Clerk