Claims Processor I - (Alameda, CA)

Overview Under the direct supervision of a Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is responsible for the accurate review, entry and processing of all claims received for payment by AAH. Responsibilities Principal assignments include: * Research claims for completion and appropriateness. * Review and handle rejected claims as necessary. * Evaluate HealthSuite error screen and base payment determination using AAH claims processing guidelines. * Utilize Claims Department policies & procedures, workflows and manuals to meet Departmental production and quality metrics. * Meet or exceed established individual production standards and collaborate with other Claims staff to ensure departmental compliance targets are met. * Meet or exceed a financial standard of 97% and a procedural accuracy standard of 96%.