Claims Clerical Support in Orange at Prospect Medical Systems

Date Posted: 7/26/2019

Job Snapshot

Job Description



Claims Support Clerk

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Support Clerk is responsible for assisting the Claims Department with filing, typing, photocopying, scanning, phone inquiries, and correspondence. They will also be responsible for preparing all Health Plan audits and all other support functions as needed.  



Job Responsibilities/Duties

  • Filing batches, typing, and photocopying daily.   Pull, photocopy and handle phone inquiries for all subpoenas.  Pull all paper batches for processing.  
  • Pull claims and prepare for all Health Plan audits.
  • Scan all medical records and enter into an excel spreadsheet daily.  Scanning of data entered batches.
  • Forward mail to Health Plans and Providers daily.  
  • Update the Medi-Cal books.  
  • Purge all processed batches and enter into an excel spreadsheet.  
  • Complete weekly claims reports.  Also handle other duties as requested.


Qualifications

Minimum Education:    High School Diploma or equivalant.  

 

Minimum Experience:  At least one to two (1-2) years prior experience as a Support Clerk in a hospital environment. Experience in a Claims environment preferred. Typing of 20-40 wpm. Availability to work overtime, as needed. Working knowledge of Excel to include the ability to update an Excel spreadsheet.

Req. Certification/Licensure:   None



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance

Prospect Medical Systems has a zero-tolerance policy regarding the use of drugs and alcohol.  Our Company is committed to maintaining a productive, drug free workplace that keeps employees and patients safe from harm.  For this reason, we require applicants to pass a screening for drug use as a condition of employment.  This includes: alcohol, marijuana, cocaine, opiates and methamphetamines.



How to Apply

To apply for this role, or search our other openings, please visit   http://pmh.com/careers/  and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law:  https://www1.eeoc.gov/employers/poster.cfm



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