Job req ID: 7008
The Claims Assistant supports the handling and routing of all documents received through the claims mailroom and the scanning of all paper claims into an electronic format. The Claims Assistant is responsible for opening, Accurately counting, sorting the claims by claim type and prepping the claims for scanning. They will assist with scanning of all paper claims and documents into an electronic format. The Claims assistant will data enter pertinent information for tracking.
Process incoming mail: Open and date stamp the mail; Sort and count mail receipts; Scan claims into electronic document; Track claims receipts and apprise the department manager of high volumes; Forward misdirected mail to the correct entity; Ensure that paper claims and nonstandard documents are routed appropriately to our Plan Partners and internal departments within the required timeframe. All incoming mail will be counted, date stamped, and given to the correct party within 24 hours of receipt. (55%)
Photocopy and mail correspondence to internal departments, Plan Partners, submitting providers, PPGs, members, and other parties on a daily basis. Scan/OCR of paper claims and verification process. Disposition of mail and claims within 3 to 5 working days of receipt by the department. Scanned/OCR’d claims data has been verified against the document images. (15%)
Maintain the filing system within the department. All claim related information should be filed within seven working days. Files will be monitored to coordinate moving information to off-site storage. (10%)
Answer phone inquiries, provide clerical assistance to the claims department as needed, and order supplies. Determine workloads and process flow to ensure compliance with the regulatory agencies. (10%)
Perform other duties as assigned. (10%)
High School Degree or High School Equivalency Certificate
At least 0-6 months of mailroom experience, data entry and clerical in a healthcare/managed care environment.
Must be very detail oriented with the ability to accurate count and track claim documents throughout the mailroom process.
Must have very good Microsoft Excel skills with ability to create calculations and charts.
Must be proficient in using Microsoft Word.
Must be able to work effectively within the mailroom by mentoring and coaching mailroom staff on correct procedures.
Job req ID: 7037 Job description The Training Specialist III is responsible for leading collaborative efforts (projects and/or workgroups) with internal...Apply For This Job
Job req ID: 2021-30761 Mednax Services, Inc. is a national medical group. Over the last 40 years, through our network of...Apply For This Job
Job req ID: 2021-30708 Overview Mednax Services, Inc. is a national medical group. Over the last 40 years, through our network...Apply For This Job
Job req ID: 6861 Job description The Claims Data Entry Clerk II is responsible for the accurate and timely data entry...Apply For This Job
Title: Citrix VDI support Location:Carlisle, PA Duration: Long Term Note: It is an Onsite position, Secret Clearance required, US Citizen....Apply For This Job