- Incomingmail must be sorted, counted by claim type, and prepped to be sentto the imaging vendor daily.
- Prep,date stamp all Certified and FedEx mail and log in a timely manner.Copying all Certified and FedEx mail envelopes daily and attachedto the original document.
- Deliversmail to the general mailroom to be mailed out twice perday.
- Maintains a daily log of allmisdirected Provider Dispute Resolution forms and places in theGrievance and Appeals Resolution Services (GARS) bin for pickup.
- Performs regularly scheduledmorning and afternoon mail deliveries in a timely and consistentmanner.
- Keeps mailroom area neat andfree from clutter, maximizing safety andefficiency.
- Alerts supervisor of anyissues that impact production andquality.
- Reviews rejected claimfiles received from vendor to determine appropriate course ofaction.
- Is responsible for sendingmisrouted claims to the appropriate group within 10 (ten) businessdays.
- Ensures all ProtectedHealthcare Information (PHI) is locked at the end of theday.
- Other duties as assigned bymanagement.
- Accurately sort anddeliver mail to multiple departments in a timely and consistentfashion.
- Data entry using commontechniques.
- Analyze incoming mailand determine appropriate course ofaction.
- Effectively utilize computerand appropriate software (i.e., MS Office: Outlook, Excel, andWord) and interact as needed with Claims ProcessingSystems.
- HighSchool diploma or equivalentrequired.
- 1 year of data entryexperiencerequired.
- Medicalclaims experiencepreferred.
- Differenttypes of Medi-Cal claim forms; CMS1500, UB04,25-1.
- Standard medical terminology,CPT-4, HCPC, revenue codes, and ICD-10 preferred.
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Online Content Creator - Abu Dhabi, United Arab Emirates - ITP Media Group dubai
Description
*ON-SITE*
JobSummaryTheData Entry Tech (Claims) ensures consistent and efficient mailroomoperations and assists with the day-to-day mailroom
Requirements
Experience&Education
PreferredQualifications
Knowledgeof:
Benefits
AtSunshine Enterprise USA LLC, we firmly believe that our employeesare the heartbeat of our organization and we are happy to offer thefollowingbenefits:
Competitive pay& weeklypaychecks
Health, dental,vision, and lifeinsurance
401(k) savingsplan
Awards andrecognitionprograms
Benefiteligibility is dependent on employmentstatus.
SunshineEnterprise USA is an Equal Opportunity Employer Minorities,Females, Veterans and Disabled Persons
Experience & Education High School diploma or equivalentrequired. 1 year of data entry experience required. PreferredQualifications Medical claims experience preferred. Knowledge of:Different types of Medi-Cal claim forms; CMS1500, UB04, 25-1.Standard medical terminology, CPT-4, HCPC, revenue codes, andICD-10 preferred.