YOUR JOB
You will manage the systematic organization and accurate processing of incoming and outgoing electronic documents, faxes, claims, and related materials. Key responsibilities involve ensuring a streamlined workflow for document handling while maintaining precision and compliance with established procedures.
Claims are logged and recorded in Intake and processing systems upon receipt.
Sorting, processing, and thoroughly evaluating claims to determine eligibility for payment.
Responsible for organizing and categorizing data within our Claims Smart Indexing System to ensure efficient file management.
The processing team must electronically transmit received claims to multiple platforms and Business Offices of Benefit (Bobs).
Responsible for efficiently managing and prioritizing provider claims, inquiries, and GOP requests within the Salesforce platform, ensuring timely resolution and accurate documentation.
Responsibilities include processing and overseeing the intake provider claims alongside other departmental duties, ensuring strict adherence to established turnaround times.
Overseeing the diverse channels utilized for the submission of claims represents a key responsibility within this role.
Perform additional duties as assigned, as needed.
YOUR PROFILE
You demonstrate exceptional proficiency in both spoken and written English.
You possess a high degree of accuracy and demonstrate meticulous attention to detail in all tasks.
In your daily responsibilities, you will engage with a variety of systems and applications to perform your tasks efficiently.
You demonstrate strong organizational abilities and exceptional proficiency in managing time effectively.
You consistently handle confidential information with the utmost professionalism and discretion.
You demonstrate exceptional proficiency in processing extensive volumes of electronic documents with precision and thoroughness.
You excel in dynamic settings and effectively manage competing priorities to meet established deadlines.
You demonstrate a positive outlook and adaptability in the face of challenges.
You excel at fostering collaboration and actively engaging with both your own team and cross-functional groups.
You possess a Diploma or Degree from an accredited institution.
Qualifications
BA/BSc/HND , Diploma
