YOUR JOB
You will oversee the systematic organization and accurate processing of electronic documents, faxes, claims, and other incoming and outgoing correspondence. Your responsibilities will encompass managing workflows to ensure efficiency, maintaining meticulous records, and verifying the precision of all processed materials. Additionally, you will coordinate the timely distribution of documents while adhering to established protocols and compliance standards.
Upon receipt, claims are entered into and documented within the Intake and processing systems.
Sorting, processing, and verifying claims directly to determine eligibility for payment.
Responsible for organizing and categorizing data efficiently within the Claims Smart Indexing System, ensuring accurate file management and streamlined classification processes.
The system facilitates the electronic transmission of incoming claims to multiple platforms and Business Office Branches (Bobs).
Responsible for managing the flow of provider claims and queries, as well as GOP requests, within the Salesforce platform, ensuring timely and accurate processing and resolution.
Responsibilities include the oversight and processing of Intake provider claims, as well as the execution of various departmental tasks, all within the established turnaround timeframes (TAT’s).
Overseeing the diverse channels utilized for claims intake represents a core responsibility, ensuring seamless and efficient processing across all communication pathways.
Additional duties may be assigned as required.
YOUR PROFILE
You possess strong proficiency in both spoken and written English.
You demonstrate precision and meticulous attention to detail in your work.
In your daily responsibilities, you will engage with a variety of systems and applications.
You possess strong organizational capabilities and demonstrate exceptional proficiency in managing time effectively.
You maintain the strictest confidentiality when handling sensitive information.
You demonstrate exceptional proficiency in managing extensive volumes of electronic documents with precision and efficiency.
In dynamic work settings, you effectively manage competing priorities and allocate time efficiently to meet deadlines.
You demonstrate unwavering optimism and adaptability in the face of challenges.
You demonstrate strong collaboration skills, effectively engaging with your own team and other departments to achieve shared objectives.
You possess a Diploma or Degree from an accredited institution, demonstrating a solid academic foundation in your field of study.
Qualifications
BA/BSc/HND , Diploma
