Moda Health is a company committed to quality healthcare since 1955. They are seeking an Imaging Data Entry Clerk who will be responsible for handling incoming mail, sorting and preparing claims for processing, and maintaining office equipment.
Responsibilities
- Receive, track, sort, prepare, and route all incoming mail to various departments
- Operate and maintain office equipment, including Opex, Omation, and multiple scanners
- Prepare batches for in-house scanning or external processing with Symbeo while maintaining strict turnaround times
- Enter member, group and provider information into the system for processing
- Prepare daily inventory reports and assist with training on rotational tasks when necessary
- Provide coverage for the receptionist desk and phone when required
- Handle all incoming mail, including inter-office, packages, letters, claims, and certified mail
- Sort and prepare medical and dental claims for scanning and vendor handling
- Locate, store, rescan, return, or forward claims for further review
- Scan paper x-rays
- Lift and pull stacks of claims, bins, and mail trays
- Track outgoing and incoming claims batches between Moda and Symbeo to ensure compliance and all records are accurate and accounted for
- Ensure timely processing of all mail, including scanning, batching, and indexing
- Prioritize Medicaid, Medicare, and appeal-related mail to maintain compliance with federal and state regulations
- Prepare and batch specialized sorting tasks like medical correspondence, member appeals, and prescription claims
- Prepare and distribute daily inventory to Claims Management teams
- Keep the mail distribution area clean and organized
- Maintain office equipment, including Omation and Opex automatic mail-opening machines and multiple scanners
- Enter claims data accurately using Moda systems and ensuring correct member and provider selection while reassigning claims based on dental claims processing guidelines
- May write and mail letters to members and providers
- Provide relief coverage for the reception desk
- Perform other duties as assigned
Skills
- High school diploma or equivalent
- Ability to lift 20+ pounds and work in a fast-paced, physical role
- Ability to embrace process improvements and work well in a team-oriented environment
- Proficiency with Microsoft Office applications
- Typing ability of 35 wpm
- 10-key proficiency of 135 kspm
- Proficient with prioritizing tasks and completing them with high accuracy and speed
- Ability to work well under pressure, with frequent interruptions and shifting priorities
- Demonstrates effective reading, writing and oral communication skills
- Ability to meet production and quality standards for various types of work and documents
- Skilled in handling multiple tasks
- At least 6-12 months experience in a production environment preferred
Benefits
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Company Overview
Moda Health offers quality health coverage in Oregon, Washington, and Alaska. It was founded in 1955, and is headquartered in Portland, Oregon, USA, with a workforce of 1001-5000 employees. Its website is https://www.modahealth.com/index.shtml.
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