Claims Support Tech

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Affords assistance to the operations of the Claims Administration department.
• Handles and processes incoming claims and claims-related correspondence efficiently and promptly, adhering to departmental procedures.
• Performs scanning and data validation and correction of paper claims documentation to ensure accuracy of OCR data.
• Carries out manual entry of submitted claims data as necessary.
• Effectively prioritizes and completes assigned tasks within appropriate timeframes and with the required level of quality.
• Participates actively in team meetings, contributing ideas and suggestions to enhance departmental efficiency and quality, and foster teamwork.
• Maintains compliance with privacy and confidentiality standards.
• Maintains or surpasses all established standards for performance, quality, and timeliness.
• Supports the Claims department in reviewing, investigating, and researching claims documentation issues.
• Demonstrates ethical business practices and personal actions that align with Health System and Health Plan policies and procedures.
• Assists with other related work responsibilities as requested.

EDUCATION AND/OR EXPERIENCE

• 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.