Claims Support
- Location
- Minneapolis, MN, United States
- Salary
- Contact For Rate
- Posted
- Jul 14, 2017
- Closes
- Jul 25, 2017
- Category
- Administrative / Clerical
- Job Type
- Employee
- Employment Status
- Full Time
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:
Requirements:
Education
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
- One year of general business office experience required, preferably in a healthcare environment
- PC or other computer system experience preferred
- Familiarity with medical claims preferred
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