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Position Title: Claims Support/Sacramento Claims Office
Position Summary: The Claims Support position works in conjunction with the Sacramento Claims Manager and the Sacramento Office Manager to provide administrative support in an accurate and efficient manner and according to CCIH mission, vision and values.
Reports to: Sacramento Claims Manager
Essential Functions:
- Data entry
- Assist the Office Manager with daily mail
- Scanning
- Perform various duties assigned by management
- Answer the phone using professional telephone etiquette
- Reliable attendance and punctuality.
Qualifications (Education, Training, Experience, Competencies):
- High School diploma or equivalent
- Accurate data-entry skills
- Excellent time management, communication and organizational skills
- Proficient with Microsoft applications (Word, Excel, Outlook) and database systems
Physical Demands:
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 frequently required to:
- Use hands to operate equipment such as personal computer, telephone and scanner.
- Utilize close vision to perform activities such as reading and personal computer.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
- Work takes place in the Sacramento Claims office.
- The noise level in the work environment is moderate.
Position Title: Claims Support – Call Center
Position Summary: Claims support will work both independently and in conjunction with Claims Manager and staff, responsible for handling inbound calls from providers with questions about their submitted claims. You will resolve questions and concerns by researching claim status from the claims processing system.
This is a Monday - Friday 8:30am - 5:00pm position.
Reports to: Claims Manager
Essential Functions:
- Answer phone inquiries from providers
- Identify and determining action to be taken in order to resolve a variety of problems.
- Prepare routine reports and document all phone inquiries in patient notes.
- Maintain composure under pressure situations
- Professional telephone presence including excellent listening skills
- Strong interpersonal skills necessary to effectively communicate with medical personnel and employees
- Analytical and problem solving skills necessary to identify and resolve issues
- Ability to maintain a very high level of confidentiality
- Perform other related duties as assigned.
Qualifications (Education, Training, Experience, Competencies):
- High School diploma or equivalent. .
- Knowledge of medical terminology, CPT, HCPCS and ICD-10 codes preferred
- Strong communication, analytical, organizational and problem-solving skills.
- Accurate data-entry skills.
- Excellent time management skills.
- Proficient with Microsoft applications (Work, Excel, Outlook) and database systems.
- Authorization to work in the United States
- A minimum of one year experience
Physical Demands:
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 frequently required to:
- Use hands to operate equipment such as personal computer, telephone console, calculator or adding machine.
- Utilize close vision to perform activities such as reading and personal computer.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Work takes place in the Kentucky Claims office.
The noise level in the work environment is moderate.
CCIH supports the principles of equal employment opportunity (EEO) for all employees and applicants for employment, regardless of their race, creed, gender, color, age, religion, pregnancy, ethnicity, marital status, veteran status, sexual orientation, physical or mental disabilities, gender identity or national origin.
Office Hours
Lexington, Kentucky
1218 South Broadway, Ste 250
8AM - 5PM Eastern
Monday thru Friday.
Sacramento, California
600 North Market Blvd
8AM - 5PM Pacific
Monday thru Friday.