YOUR JOB
You will oversee the systematic organization and accurate processing of incoming and outgoing electronic documents, faxes, claims, and other related materials. Key responsibilities involve ensuring the efficient flow and proper handling of these communications while maintaining high standards of accuracy and timeliness.
Responsibilities include logging and recording claims in the Intake and processing systems as they are received.
Responsibilities include directly sorting, evaluating, and verifying claims to determine eligibility for payment.
Responsible for organizing and categorizing data within our Claims Smart Indexing System to ensure efficient file management.
The system facilitates the electronic transmission of incoming claims to the designated platforms and Business Operating Branches (Bobs).
Experienced professionals will evaluate and prioritize incoming provider claims, inquiries, and GOP requests within the Salesforce platform.
Responsible for processing and overseeing Intake provider claims, as well as performing other departmental duties, while ensuring compliance with established turnaround times (TAT).
Overseeing the various channels utilized for claims intake represents a key aspect of this role.
Tasks may be assigned as needed to support ongoing operations and project objectives.
YOUR PROFILE
You possess exceptional proficiency in both spoken and written English.
You demonstrate precision and meticulous attention to detail in all tasks.
In your daily responsibilities, you will engage with a variety of systems and applications to support operational tasks.
You possess strong organizational abilities and demonstrate exceptional proficiency in managing time effectively.
You must handle confidential information with the highest level of discretion and integrity.
You possess the ability to efficiently manage and process substantial volumes of electronic documents with precision and accuracy.
You excel in dynamic environments and effectively manage competing priorities to ensure timely task completion.
You demonstrate a positive outlook and the capacity to recover quickly from challenges.
You possess strong teamwork skills, demonstrating the ability to collaborate effectively and engage productively with both your own team and other departments.
You are required to hold a Diploma or Degree from an accredited institution.
Qualifications
BA/BSc/HND , Diploma
