Where compassion meets innovation and technology and our employees are family.

General Purpose of Job:

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.

Essential Duties and Responsibilities:

• 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 the 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.
• Demonstrates 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.

Knowledge skills and Abilities

• Experience with Microsoft Office, specifically Excel and Word.
• Experience working with OCR scanning preferred.
• Knowledge of CMS-1500 and UB-04 claim form types
• Ability to effectively communicate, both verbally and in writing.
• Ability to work independently, or to collaborate in a team environment, toward meeting common goals.
• Ability to multi-task and meet deadlines in a fast-paced environment.
• Integrity and discretion to maintain confidentiality of member and provider data.

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