Transaction Entry Clerk
Position: Transaction Entry Clerk
Job ID: 401570
Location: US-TX-Houston
Department: Claims - Vertex/Document Ctr
Job ID: 401570
Location: US-TX-Houston
Department: Claims - Vertex/Document Ctr
Talent Area: Administrative Support
Full/Part Time: Full time
Regular/Temporary: Regular
Shift: 8a - 5p
Full/Part Time: Full time
Regular/Temporary: Regular
Shift: 8a - 5p
About Texas Children's Hospital
Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Summary:
We are searching for a Transaction Entry Clerk — someone who works well in a fast-paced setting. In this position, you will enter all claims received for adjudication. You’ll open, sort and scan daily mail, data enter claims into the system, file, verify and update Coordination of Benefits (COB) information in the Claims system, create form letters and other duties as assigned.
Think you’ve got what it takes?
Qualifications
- Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption.
- H.S. Diploma or GED Required
- 1 Year of Data Entry Experience Required
- Claim Entry Experience Preferred
Responsibilities
- Open, sort and scan daily mail received.
- Data enters claims in the system
- Verify Coordination of Benefits (COB) information in an external vendor's system and update verified information in a web based application
- Pull claims from filed batches, refile, work assigned work queues daily, print faxes and other duties and tasks as assigned
- Create form letters for rejected claims
- Complete special projects as requested
- Open, sort into various categories, scan and data enter claims and miscellaneous documents into data entry system for uploading into claims processing system. Claims that are rejected for missing required information must be returned to the provider within 3 days from the date rejected
- Sort, scan and key claims
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