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Claims Customer Service Coordinator
UCLA
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Details

Posted: 02-Oct-24

Location: Los Angeles, California

Salary: Open

Categories:

Admin / Clerical

Internal Number: 143080275

Description

As a Claims Customer Service Coordinator, you will play a crucial role in connecting members, billers, providers, physicians, and Health Plans. Your primary responsibilities will include:

  • Answering calls promptly and courteously, providing professional assistance to customers with claims-related issues.
  • Ensuring timely resolution of customer inquiries.
  • Handling typical inquiries such as:
    • Claim Status
    • Requests for Explanation of Benefits (EOB)
    • Requests for Denial Letters
    • Health Plan demands
    • Check tracers
    • Managing incoming faxes
  • Documenting all interactions in our CRM system.
Salary Range: $25.60  - $36.33/hourly
Qualifications

We are seeking a detail-oriented, independent individual with: 

  • High school diploma, GED, or equivalent.
  • Minimum of 2 years of medical claims customer service experience in an HMO environment (e.g., MSO, IPA, or health plan).
  • Proficient with CPT/HCPC codes, UB04, 1500 forms, ICD-10, ASA, Medicare Guidelines, and COB.
  • Extensive knowledge of professional and facility reimbursement methodologies and benefit determination.
  • Demonstrated competence in medical terminology and claims adjudication systems.
  • Able to handle a high volume of calls and work under pressure.
  • Proficient computer skills, including Microsoft Word and Excel.
  • Independent worker with the ability to meet deadlines and production standards.
  • Flexible, adaptable, and goal-oriented, capable of multitasking and working with frequent interruptions.

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About UCLA
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.
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