Health Plan of San Joaquin Hiring for Data Entry Clerk, Claims Job at French Camp, CA Full Time

What You Will Be Doing:
Under direct supervision, responsible for receiving incoming/outgoing mail, faxes, scanned images, claims documents, and other documents, and ensuring that items are prepared for processing.

• Opens, screen and processes incoming mail so that items are batched appropriately: Sorts through items to identify proper channels of distribution; separates mail in batches based on defined categories; directs items to appropriate staff.
• Prepares outgoing correspondence using standard templates to providers, including but not limited to refund requests, provider dispute acknowledgement and determination letters, and documentation to the State of CA.
• Maintains (enter and change status) inventory tracking grid so that claims and batches are logged in and out accurately.
• Performs various data entry, including entering production statistics and certain claim types into tracking grids.
• Reviews routine reports, including unknown member report; enters missing data, as appropriate.
• Files and prepares documents for storage.

Required Skills*
What you Have: *
Knowledge, Skills, Abilities and Competencies
Required

• Ability to understand and apply straightforward documents, and oral and written instructions.
• Ability to compare and discern the difference between multiple sets of data or information.
• Basic problem solving and analytical skills, including the ability to perform routine analysis and solve problems using identified data and information.
• Produces work that is accurate and complete.
• Produces the appropriate amount of work.
• Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
• Rebounds from setbacks and adversity when facing difficult situations.
• Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
• Interpersonal skills – interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
• Basic oral and written communication skills, with ability to express self clearly and professionally, and document according to standards.
• Ability to work independently and as part of a team.
• Demonstrates a commitment to HPSJ’s strategy, vision, mission and values.
• Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities.
• Can attend to a broader range of activities. Meets deadlines.
• Basic arithmetic skills.
• Ability to operate standard office equipment efficiently and effectively.
• Basic filing skills.
• Basic typing skills.
• Basic skills in Windows, Word, Excel and Outlook.
• Ability to handle confidential information with appropriate discretion.
• Ability to speak and be understood in English.

Preferred

• Basic knowledge of healthcare claims processing.

Required Experience*
What you Have: *
Education & Experience
Required

• High school diploma or general education degree; and
• At least one year of general clerical experience.

Preferred

• Clerical experience in a healthcare environment or claims.

What You Will Get:

• HPSJ Perks:
• Competitive salary
• Robust and affordable health/dental/vision (90% paid medical for employees and 100% paid dental/vision for employees) with choices in providers
• Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
• CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
• Two flexible spending accounts (FSAs)
• Employer-Paid Term Life and AD&D Insurance
• Employer-Paid Disability Insurance
• Employer-Paid Life Assistance Program
• Health Advocacy
• Supplemental medical, legal, identity theft protection
• Access to exclusive discount mall
• Education and training reimbursement in addition to employer-paid elective learning courses.

• A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
• A shorter commute – if you’re commuting from the Central Valley to the Bay Area.
• Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.

Our Vision:

• Continuously improve the health of our community.

Our Mission:

• We provide healthcare value and advance wellness through community partnerships.

Job Type: Full-time