Claims Mailroom Support Clerk

Claims Mailroom Support Clerk

Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community.

Overview of the Role:

The Claims Clerical-Mailroom Support Clerk is responsible for managing incoming mail from providers while ensuring a high level of accuracy. Requires the ability to multi-task while providing accurate and timely mail triaging and processing.

Responsibilities:

• Responsible for opening, triaging and batching incoming mail, faxes.

• Utilize EZ CAP claim processing system to research provider and member status.

• Data entry of manual claims into EZ CAP claims system.

• Daily logging and counting of mail.

• Responsible for processing daily pend, denial and claim forwarding correspondence.

• Accountable for providing requested documentation to internal departments and provider network (EOB, faxes, scanning, requests for letter copies).

• Support of research projects through claims look-up and simple documentation via Excel spreadsheets.

• Ability to positively support the needs of providers and claims team through professional communication that demonstrates the company culture.

• Participate in Claims Department team meetings and other activities as needed.

• Ensure the privacy and security of PHI (Protected Health Information) as outlined in department policies and procedures relating to HIPAA Compliance.

• Other duties and projects as assigned.

Requirements:

1 year of mail room/clerical experience in a healthcare setting

High school diploma or general education degree (GED)

Medicare Claim knowledge-preferred

Hourly Rate from $17-$20.