Humera - Administrative and Professional Staffing

Claims Support

7 days left

Location
Minneapolis, MN, United States
Salary
Contact For Rate
Posted
Jul 14, 2017
Closes
Jul 30, 2017
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:
  • 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

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