Find & Apply For Insurance Claims / Policy Clerk Jobs in Getzville, New York

BusinessOperations - Scanning Operator - 570043#26-20809 $18.50 per hour Getzville, NY Onsite Job Description

Position Purpose:

Responsible for scanning and tracking all mailed claims, review requests, medical records and member/provider correspondences

Education/Experience:

High school diploma or equivalent. 1+ years of administrative or office experience.

• Ensure claims are received and sorted correctly for scanning, and batch and track all offline, deleted, and pulled claims
• Understand and follow procedures and continuously monitor counts in the system queues to ensure the system is working effectively
• Update the claims control sheet in an accurate and timely manner and report unresolved discrepancies immediately to the supervisor
• Process outgoing mail and archive various documents, records and requests
• May be required to lift up to 50 lbs.

on a regular basis

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans." ============

Position Purpose:

Responsible for scanning and tracking all mailed claims, review requests, medical records and member/provider correspondences

Education/Experience:

High school diploma or equivalent. 1+ years of administrative or office experience.

• Ensure claims are received and sorted correctly for scanning, and batch and track all offline, deleted, and pulled claims
• Understand and follow procedures and continuously monitor counts in the system queues to ensure the system is working effectively
• Update the claims control sheet in an accurate and timely manner and report unresolved discrepancies immediately to the supervisor
• Process outgoing mail and archive various documents, records and requests
• May be required to lift up to 50 lbs.

on a regular basis Story Behind the Need

Purpose:

Mail sorting, document identification & determination, document scanning, document forwarding.

Need:

Business restructuring.

Team:

Each team member is a specialist in individual tasks. All team members are cross trained to backfill specialist positions. Team culture is friendly, driven toward quality assurance & service level agreements.

Hiring needs:

This is not part of a larger hiring initiative Typical Day in the Role Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are performance expectations/metrics? What makes this role unique? Mail arrives to the office by courier between 9:30 - 10:30 am. Staff spend approximately 1 to 1.5 hours pre-sorting envelopes by sight determination & tallying intake counts for reporting. Mail is distributed to team members to be opened, sorted by document determination, similar document types are batched together & scanned. Once scanning is complete, batches are filed by the end of each business day.

Performance expectations:

80 Envelopes open per hour. 40 scans output per hour. 15 claim form batches scanned per hour.

Unique roll:

Independent work within a team environment. The team works on-site in a secure location only accessible by security badge swipe due to HIPAA compliance regulations. Pace of work fluctuates throughout the week with busiest days being Monday, Thursday & Friday Candidate Requirements

Required:

Highschool Diploma/GED

Preferred:

n/a

Required:

n/a

Preferred:

n/a Years of experience required: 1⁄2 preferred but not required

Disqualifiers:

lack of minimal computer sufficiency Additional qualities to look for: mailroom experience, medical claims experience, medical appeals or medical records experience Top 3 must-have hard skills stack-ranked by importance 1 Microsoft Windows o/s familiarity 2 Attention to detail 3 Ability to ask questions & learn from on-the-job training. Candidate Review & Selection Shortlisting process Candidate review & selection Interview information Onboard process and expectations

Projected Manager Candidate Review Date:

1-2 days post shortlisting

Type of Interviews:

Teams, phone, etc. Required Testing or Assessment (by Vendor): Typing test, basic computers skills test, etc.