YOUR JOB
You will oversee the systematic organization and accurate processing of both incoming and outgoing electronic documents, faxes, claims, and related materials. Key responsibilities involve ensuring seamless workflow management and meticulous handling of documentation to maintain efficiency and compliance.
Efficiently logging and recording claims into Intake and processing systems upon receipt is required.
Responsibilities include conducting thorough reviews of claims submissions to verify accuracy and completeness prior to payment processing.
Responsible for organizing and categorizing data within our Claims Smart Indexing System to ensure efficient file management.
The claims received are electronically transferred to multiple platforms and Bobs as required.
Responsible for managing incoming provider claims and inquiries, as well as GOP requests within the Salesforce platform, ensuring systematic organization and prioritization.
Responsibilities include processing and overseeing Intake provider claims while ensuring all departmental tasks are completed within the designated turnaround times. This role requires meticulous attention to detail and the ability to manage deadlines efficiently.
Overseeing the diverse channels utilized for claim submissions constitutes a key responsibility.
Perform any additional responsibilities as assigned by management.
YOUR PROFILE
You possess strong proficiency in both spoken and written English.
You demonstrate exceptional precision and meticulous attention to detail in all tasks.
In your daily responsibilities, you will engage with a variety of systems and applications.
You demonstrate strong organizational capabilities and exceptional proficiency in managing time effectively.
You possess the ability to handle sensitive information with the highest level of confidentiality and integrity.
You possess the ability to efficiently manage substantial volumes of electronic documents with precision and reliability.
You excel in dynamic, high-pressure settings and adeptly manage competing priorities to ensure timely task completion.
You demonstrate unwavering optimism and adaptability in challenging situations.
You excel in collaborative environments, seamlessly integrating with your team and fostering strong working relationships across departments.
You are a graduate holding either a Diploma or Degree from an accredited institution.
Qualifications
BA/BSc/HND , Diploma
