Job Description

Let’s do great things, together!

 
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
Receive, track, sort, prepare, and route all incoming mail to various departments. Operate and maintain office equipment, including Opex, Omation, and multiple scanners. Prepare batches for in-house scanning or external processing with Symbeo while maintaining strict turnaround times. Enter member, group and provider information into the system for processing. Prepare daily inventory reports and assist with training on rotational tasks when necessary. Provide coverage for the receptionist desk and phone when required. This is a FT hybrid position based in Milwaukie, Oregon. 

Pay Range
$17.34 - $17.85  hourly, DOE.
**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.

Please fill out an application on our company page, linked below, to be considered for this position.

Benefits :

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Location:

• 10505 SE 17th Ave, Portland, OR 97222

Requirements:

1. High school diploma or equivalent.
2. At least 6-12 months experience in a production environment preferred.
3. Ability to lift 20+ pounds and work in a fast-paced, physical role.
4. Ability to embrace process improvements and work well in a team-oriented environment.
5. Proficiency with Microsoft Office applications.
6. Typing ability of 35 wpm.
7. 10-key proficiency of 135 kspm.
8. Proficient with prioritizing tasks and completing them with high accuracy and speed.
9. Ability to work well under pressure, with frequent interruptions and shifting priorities.
10. Demonstrates effective reading, writing and oral communication skills.
11. Ability to meet production and quality standards for various types of work and documents.
12. Skilled in handling multiple tasks.

Primary Functions:

1. Handle all incoming mail, including inter-office, packages, letters, claims, and certified mail.
2. Sort and prepare medical and dental claims for scanning and vendor handling.
3. Locate, store, rescan, return, or forward claims for further review.
4. Scan paper x-rays.
5. Lift and pull stacks of claims, bins, and mail trays.
6. Track outgoing and incoming claims batches between Moda and Symbeo to ensure compliance and all records are accurate and accounted for.
7. Ensure timely processing of all mail, including scanning, batching, and indexing. Prioritize Medicaid, Medicare, and appeal-related mail to maintain compliance with federal and state regulations.
8. Prepare and batch specialized sorting tasks like medical correspondence, member appeals, and prescription claims.
9. Prepare and distribute daily inventory to Claims Management teams.
10. Keep the mail distribution area clean and organized.
11. Maintain office equipment, including Omation and Opex automatic mail-opening machines and multiple scanners.
12. Enter claims data accurately using Moda systems and ensuring correct member and provider selection while reassigning claims based on dental claims processing guidelines. 
13. May write and mail letters to members and providers.
14. Provide relief coverage for the reception desk.
15. Perform other duties as assigned.

Contact with Others
Internally with various departments.  Externally with members, providers, brokers, etc., when covering reception desk.

Working Conditions
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 40 hours per week, including evenings and occasional weekends, to meet business need.
 

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 & Danielle Baker via our humanresources@modahealth.com email.

Job Tags

Hourly pay, Full time, Work at office, Shift work, Afternoon shift

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