Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County’s vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions, for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.
The Claims Data Entry Clerk II is responsible for the accurate and timely data entry of claims and other documents, which includes: Keying claims for all lines of business, including complex claims. Data Entry of Claims in Core adjudication system. Checking the eligibility of members of services in order to sort claims by product. Scanning and sorting medical records. Reviewing claims for required information, returning claims to the provider when necessary. Preparing reports and ensuring that reports are accurate and generated within specified timeframes.
Create and sending of Rejection letters to the providers for the rejected Claims 98.5% accuracy. Follow LAC policies and procedures. Keep current with incoming daily receipts. Meet production standards. (50%)
Accurately sort based on department procedures. Keep current with incoming daily receipts. (25%)
Perform special projects and ad-hoc reporting as necessary. Projects will be complete and reports will be generated within the specific time frame agreed upon at the time of assignment. (15%)
Perform other duties as assigned. (10%)
Required:
At least 0-6 months of accurate, high-volume claims data entry or claims processing experience.
Preferred:
Managed care or Medi-Cal claims experience.
Proficient in Microsoft Office
Strong verbal and written communication skills
Preferred:
Claims Examiner Training
L.A. Care offers a wide range of benefits including
At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.
Robotics Engineer (C++) – Surgical Robotics – $165-180k+ A surgical robotics engineering scale-up are seeking multiple engineers to help design...
Apply For This JobThis role offers a hybrid work schedule; offering the flexibility to work remotely two days a week, while providing the...
Apply For This JobJob Description If your goal is to begin a fantastic part time or full time career where your talents will...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Requisition ID: R10079580 Category: Administrative Services Location: Redondo Beach, California, United States of America Citizenship...
Apply For This Job*all candidates must live on Lopez Island*Why VacasaWe started with just one home and an idea: to bring homeowners and...
Apply For This JobWHAT YOU BRING Bachelor’s degree in Business or an equivalent, or two additional years’ experience in lieu of a degree...
Apply For This Job