Medical Claims Entry Operator
Moda Health · Portland, OR
- On site
- Internship
- $40,000 / year
- Portland, OR
Job highlights
- Enter claims accurately using Moda systems.
- Resolve pending claims with data errors.
- Research and solve basic claims data.
- Work remotely in a full-time role.
- Requires typing and 10-key skills.
About the role
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.Position Summary
Enters the processing system all claims received by mail or route claims as directed to processing specific data entry queues. Interrogates data on claims received electronically where member or provider information does not match Moda records. This is a FT WFH role.Pay Range
$17.34 - $18.92 hourly (depending on experience) *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.Application Instructions
Please fill out an application on our company page, linked below, to be considered for this position.https://j.brt.mv/jb.do?reqGK=27776552&refresh=true
Benefits
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Required Skills, Experience & Education
- High school diploma or equivalent.
- Six months data entry experience.
- 10-key proficiency of 135 spm net on a computer numeric keypad.
- Typing ability of 35 wpm net.
- Proficiency with Microsoft Office applications and an understanding of basic claims processing rules.
- Strong problem solving and detail orientation skills.
- Medical terminology helpful.
- Ability to adapt to frequent changes in instructions.
- Ability to come into work on time and on a daily basis.
- Maintain confidentiality and project a professional business image.
Primary Functions
- Data enters claims accurately using Moda computer systems.
- Reassigns claims appropriately as outlined by Medical Claims processing guidelines.
- Resolves claims that pend with errors in the processing system by matching claims received to Moda providers or member records.
- Research and problem solve basic claims data.
- Identifies and communicates trends.
- Performs other duties as assigned.
Working Conditions & Contact With Others
Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need. Internally with Membership Accounting, Medical Claims, and Professional Relations.Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.
Key skills/competency
- Medical Claims Entry Operator
- Data Entry
- Claims Processing
- Moda Health
- Microsoft Office
- Problem Solving
- Detail Orientation
- Typing Speed
- 10-Key Proficiency
- Medical Terminology
Skills & topics
- Medical Claims
- Data Entry
- Claims Processor
- Healthcare Administration
- Remote Work
- Moda Health
- Office Support
- Data Entry Specialist
- Claims Entry
- WFH
How to get hired
- Customize your resume: Highlight your data entry experience, typing speed (35 wpm net), 10-key proficiency (135 spm net), and familiarity with Microsoft Office.
- Emphasize relevant skills: Showcase your problem-solving abilities, attention to detail, and understanding of basic claims processing rules, mentioning medical terminology if applicable.
- Follow application instructions: Apply directly through the company's career page link provided in the job description to ensure your application is considered.
- Prepare for technical questions: Be ready to discuss your experience with data entry systems and how you maintain accuracy and confidentiality.
Technical preparation
Practice typing and 10-key drills daily.,Review Microsoft Office Suite basics.,Study common claims processing rules.,Familiarize yourself with medical terminology.
Behavioral questions
Describe a time you handled repetitive tasks.,How do you ensure accuracy in your work?,How do you manage high-volume workloads?,How do you maintain confidentiality?
Frequently asked questions
- What is the hourly pay for a Medical Claims Entry Operator at Moda Health?
- The pay range for a Medical Claims Entry Operator at Moda Health is $17.34 - $18.92 per hour, depending on experience. Applicants who do not exceed the minimum qualifications will be eligible for the lower end of the pay range.
- Is this Medical Claims Entry Operator position remote?
- Yes, this is a full-time remote (WFH) role for a Medical Claims Entry Operator at Moda Health.
- What are the minimum typing and 10-key speed requirements for this role?
- The minimum typing speed required is 35 words per minute (wpm) net, and the 10-key proficiency required is 135 strokes per minute (spm) net on a computer numeric keypad.
- What education and experience are necessary to become a Medical Claims Entry Operator at Moda Health?
- A high school diploma or equivalent is required, along with at least six months of data entry experience. Proficiency with Microsoft Office applications and basic claims processing knowledge are also essential.
- How can I apply for the Medical Claims Entry Operator job at Moda Health?
- To apply for the Medical Claims Entry Operator position, please fill out an application on Moda Health's company page via the provided link: https://j.brt.mv/jb.do?reqGK=27776552&refresh=true
- What benefits does Moda Health offer to its employees for this role?
- Moda Health offers a comprehensive benefits package including Medical, Dental, Vision, Pharmacy, Life, & Disability insurance, a 401K with matching, FSA, Employee Assistance Program, PTO, and Company Paid Holidays.
- What are the main responsibilities of a Medical Claims Entry Operator at Moda Health?
- The main responsibilities include accurately entering claims into the processing system, reassigning claims as needed, resolving claims with data errors by matching them to member or provider records, and researching basic claims data.
- Does Moda Health require specific software proficiency for this position?
- Yes, proficiency with Microsoft Office applications is required for the Medical Claims Entry Operator role. An understanding of basic claims processing rules is also necessary.