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Hours Full-time, Part-time
Location Los Angeles, CA
Los Angeles, California

About this job

1. Process mail by sorting according to type of claim for scanning vendor
2. Scan Claims and PM160s for submission to scanning vendor
3. Mail out Misdirected Claims to PPGs (Participating Provider Group) and PDR (Provider Dispute Resolution) letters.
4. Scans and email internal documents received from daily mail for examiner processing ( Internal documents: Medical Records, Authorizations,Tracers, Handwritten Claims, Claims for Manual Entry, High Dollar Claims, TPL, Refund Requests, Refund Check copies, Member Billing)
5. Provides claim images requested by managers, supervisors or examiners when unable to locate.
6. Updates Daily Certified Mail Log for tracking.
7. Identifies claims for QNXT or MHC in EDI rejected claims spreadsheet for submission to clerical unit.
8. Retrieve claim images of Hec Rejected DCNs and emails to Clerical Unit for processing.
9. Scan PDR (Provider Dispute Resolution) for the PDR Unit.
10. Light Data entry (MS Word & Excel).

About Aerotek:

Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .