Job description
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. G ENERAL P URPOSE OF J OB : The Claims Support Tech handles incoming claims and claims-related correspondence, scanning go documentation, claims data validation, manual claim entry and other related work in support of the Claims Administration department.
E SSENTIAL D UTIES AND R ESPONSIBILITIES :
- Individuals in this position may perform any or all the below listed duties. These should be interpreted as examples of the work and are not necessarily all- inclusive.
- Assists with the operations of the Claims Administration department.
- Ensures all incoming claims and claims-related correspondence are handled and processed efficiently and promptly, according to departmental procedures.
- Performs scanning and data validation and correction of paper claims documentation to ensure accuracy of claims OCR data.
- Performs manual entry of submitted claims data as needed.
- Effectively prioritizes and completes all assigned tasks within appropriate timeframes and with required level of quality.
- Openly participates in team meetings, providing ideas and suggestions to ensure departmental efficiency and quality, and to promote teamwork.
- Maintain required compliance with privacy and confidentiality standards.
- Maintains or exceeds all established standards for performance, quality and timeliness.
- Supports the Claims department in review, investigation, and research of claims documentation issues.
- Demonstrate business practices and personal actions that are ethical and adhere to all Health System and Health Plan policies and procedures.
- Assists with other related work responsibilities as requested. E DUCATION AND / OR E XPERIENCE : Any combination of education and experience that would likely provide the required knowledge, skills, and abilities is qualifying.
- One year certification from college or technical school, or one-year related experience and/or equivalent combination of education and experience.
- Minimum High school graduate or GED required.