What are the responsibilities and job description for the Claims Assistant position at Accentuate Staffing?
Responsibilities :
- Adhere to the Claims Support schedule to ensure call service levels are met and customer satisfaction remains high.
- Index documents accurately and consistently attain monthly goal.
- Prepare reports and letters, completing and submitting them on time based on jurisdictional requirements.
- Initiate offsite check printing and prepare EOB’s daily.
- Respond to inbound calls from both internal and external customers and handle appropriately in a timely manner.
- Process unidentified mail, agent mailings and underwriting return envelopes to proper resolution.
- Investigate provider inquiries regarding bills and payments, providing EOBs as requested.
- Report any challenges, defects with workflows to Claims Support Supervisor
- Demonstrate proficiency with ImageRight, 8×8 and Advanced Claims.
- Issue payments for claims file expenses as directed.
- Process Entity Entry (I-9) to ensure compliance.
- Photocopying claim files, cataloguing medical records and electronic claim file data including EDI and other similar items.
- Perform data entry functions as directed by Adjusters and Claim Services Manager
Requirements :
