Job Details
Qualifications
- Bachelor's degree
- Communication skills
- Organizational skills
- Time management
Job Description
SUMMARY OF POSITION:
The Data Entry person is responsible for the correct entry of auto and workers compensation insurance claims into our proprietary software system and submission of those claims to our client payers.
DUTIES AND RESPONSIBILITIES:
Data Entry
Review paper, electronic, faxed and emailed claims for completeness and accuracy.
Verify claims are auto injury related or Workers Comp related
Data enter all valid claim detail into the database
Print and attach medical reports
Review appropriate claims queues in our system to capture all pending claims.
Verify benefits with Auto Carriers or Workers Comp carriers
Claims Submission
Submit claims to the payors in an accurate and timely manner
Attach all appropriate supporting documentation to the claims prior to submission.
Work with collectors to submit corrected claims when information requested by insurance provider was missing or omitted.
Work with collectors to submit paper claims to health insurance as needed.
Communicate with stakeholders
Reply to network facility groups with confirmation of claims submitted on their behalf
Report inventory and aging to management
POSITION REQUIREMENTS:
Bachelor’s degree or equivalent experience
Experience working in a busy office setting
Superior PC skills
Excellent time management skills
Strong organizational skills
Workers compensation, auto or healthcare claims knowledge is a plus
Solid Communication and interpersonal skills that include both written and oral communication.
Ability to prioritize work.
Attention to detail is critical
Must be able to work independently.
Demonstrate a positive can do attitude.