Job Description - Transaction Entry Clerk

Description

At our company, our mission starts with our people. Guided by our HEART values of Humility, Excellence, Accountability, Respect, and Trust, we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. 
As a Transaction Entry Clerk, you’ll enter all claims received for adjudication; open/sort/scan daily mail; data enters claims into the system; file, verify and update Coordination of Benefits (COB) information in the Claims system, and create form letters
 



Responsibilities

Job Duties & Responsibilities 
•    Opens, sorts and scans daily mail received. Data enters claims in the system 
•    Verifies Coordination of Benefits (COB) information in an external vendor’s system and updates verified information in a web based application 
•    Pulls claims from filed batches, refiles, work assigned work queues daily, print faxes and other duties and tasks as assigned 
•    Creates form letters for rejected claims 
•    Completes special projects as requested 
•    Opens, sorts into various categories, scans and data enters claims and miscellaneous documents into data entry system for uploading into claims processing system. Claims that are rejected for missing required information must be returned to the provider within 3 days from the date rejected 
•    Sorts, scans and keys claim 
 



Qualifications

Qualifications 
•    High school diploma or GED required 
•    1 year of data entry experience required 
•    Claims entry experience preferred 
 



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