Dignity Health Claims Verification Clerk in BAKERSFIELD, California
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsible for the verification of all claims that are scanned into OCR. Claims are scanned into one of three form families Anesthesia, COB and Special batches. The verification examiner will verify each claim in the batch and the system will prompt the verifier to audit certain fields for accuracy and completeness.
Six (6) months experience as an Entry Level Data Processor. One or more years experience working in a healthcare or other related business environment; managed care experience preferred.
General understanding of IPA, EPO, and HMO structures, policies, and procedures.
General knowledge of medical terminology.
Familiar with database software and strong data entry skills are required.
Ability to read and comprehend basic instructions, correspondence, and memos. Ability to compose routine correspondence.
Able to effectively present information verbally.
Must be attentive to detail, accurate, thorough, and persistent in following through to completion of all activities, demonstrating initiative for completing work assignments.
Strong typing and data entry skills demonstrating a high level of accuracy.
Basic computer skills. Familiar with Microsoft Word, Execl & Outlook.
Knowledge of arithmetic, including ability to add, sub-tract, multiply and divide whole and fractional numbers.
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If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this telephone number.
Job ID 2018-52628
Employment Type Full Time
Department Claims Processing
Hours / Pay Period 80
Facility Dignity Health Management Services Organization
Standard Hours Mon-Fri (8-5 PM)