Humera - Administrative and Professional Staffing

Claims Support

Minneapolis, MN, United States
Contact For Rate
Feb 21, 2018
Feb 27, 2018
Job Type
Employment Status
Full Time
Humera has positions available for Claims Support position with our client in NE Minneapolis, a company providing health coverage and services to members in Minnesota and western Wisconsin.

    The person hired to fill this position will perform a variety of support functions for the Claims Department including: sort and count incoming mail; scan documents and various other items of 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.
    • 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.
    • 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.
    • Enter DTR letters/Claims in Amisys accurate and timely.
    • Other projects and duties as assigned.)

    Required Experience
    • 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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