Claims Support

Humera has positions available for Claims Support with our client in NE Minneapolis, a company providing health coverage and services to members in Minnesota and western Wisconsin.
This is a contract position.

The person in this position will perform a variety of support functions for the Claims Department including:
Sort and count incoming mail
Scan documents and various other correspondence for a variety of departments into the imaging system including Enrollment applications and claims
File claims; retrieve claims enter claims, correspondence
Enrollment applications, and documents
Generate DTR explanation letters

Position Duties:

• Sort incoming mail according to department-specified sort criteria
• Count and file specified claim types that are not scanned prior to payment
• Sort, scan and prep Enrollment applications including performing the BEQ lookup for the Enrollment area
• Scan claims in preparation for entry into the claim system.
• Re-scan claims that are unable to be entered and back-scan claims that were entered into the claim system directly from paper
• Work with Formworks application to move and assign work to correct department work queues
• Editing unreadable documents and faxes
• File scanned Enrollment applications, claims and correspondence.
• Retrieve scanned/paper Enrollment applications or claims as needed
• Compile and prepare for mailing member letters, provider explanations of payment and other Claim Department correspondence.
• Scan other department's documents into work queues
• Perform data entry functions
• Doc triage documents not suited for Formworks application such as faxes and Enrollment applications, and claim adjustments.
• Enter DTR letters/Claims in Amisys accurate and timely
• Other projects and duties as assigned

Requirements:
Education

• High school diploma or equivalent required
  

Required Experience

• One year of general business office experience required, preferably in a healthcare environment
  

Preferred Experience

• PC or other computer system experience preferred
  
• Familiarity with medical claims preferred