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Job Saved Save Job

Claims Customer Service Coordinator

UCLA

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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