What are the responsibilities and job description for the Medical Claims Processor (Data Entry) position at Corelleaf Design Studio?
Description/Comment:
Claims Coordinator
GENERAL FUNCTION:
- Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES:
- Processing - Efficiently and accurately processes standard claims or adjustments
- Consistently achieves key internals with respect to production, cycle time, and quality
- May participate on non-complex special claims projects initiatives, including network efforts
- Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
- Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include client Account Managers, Operations, Information Systems, Client Representatives and client leadership team
- Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
- Proactively works with supervisor to develop self-remediation plan when standards are not being met
KNOWLEDGE & SKILLS:
- Data entry and claims processing knowledge
- Has a working knowledge of interface systems that include the client claims system, Metastorm and Exclaims
- Some basic working knowledge of software programs, specifically Excel and Access
- Understands third party benefits and administration
- Strong customer service focus
- Ability to work well under pressure and multi-task
EXPERIENCE:
0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION:
High school mandatory
Notes:
Onsite for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed
Work hours: 8 - 5pm with hour lunch, or 8-430 with 30-minute lunch.
Job Type: Contract
Pay: $18.00 - $18.50 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
People with a criminal record are encouraged to apply
Experience:
- ICD-10: 1 year (Preferred)
Ability to Commute:
- Mason, OH 45040 (Required)
Ability to Relocate:
- Mason, OH 45040: Relocate before starting work (Required)
Work Location: In person
Salary : $18 - $19
