Claims Intake Coordinator

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.

Job Title: Claims Intake Coordinator

Location(s): Los Angeles, CA

Position Summary
The Claims Intake Coordinator is responsible for the accurate and timely intake and data entry of paper medical claims into the claims processing system. This role ensures compliance with regulatory Claim Acknowledgement Turnaround Time (TAT) requirements, maintaining a minimum accuracy rate of 95%. The coordinator also supports internal claims operations through clerical and customer service functions as needed.

Key Responsibilities

• Perform initial data entry of received paper claims into the claims processing system with high accuracy and productivity.
• Ensure compliance with regulatory Claim Acknowledgement Turnaround Time (TAT) guidelines.
• Identify and route claims to appropriate provider/vendor and eligibility maintenance work queues for internal review.
• Provide backup clerical support for the Claims Department, including:
  • Batching and sorting claims
  • Monitoring and maintaining claim batches for audit review
• Respond to inbound claims inquiry and claim status calls in a professional and timely manner.
• Maintain confidentiality and adhere to all regulatory and organizational policies.

• High School Diploma, GED, or equivalent.
• Minimum 1 year of data entry experience; experience in a medical billing office or health plan preferred.
• Ability to key 6,000-8,000 keystrokes per hour or type 40-50 WPM with high accuracy (alpha and numeric).
• Working knowledge of Microsoft Windows, MS Word, and MS Excel.
• Strong attention to detail, organization, and ability to follow instructions.
• Ability to manage multiple tasks independently in a fast-paced environment.
• Effective written and verbal communication skills.
• Strong customer service skills.
• Ability to work autonomously and adapt to changing priorities.

• Experience with medical terminology.
• Basic knowledge of ICD-10, CPT, and HCPCS codes.
• Understanding of basic managed care concepts.
• Minimum of 2 years of medical claims customer service experience in an HMO environment (e.g., MSO, IPA, or Health Plan).

Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.