Skip to main content
Tallo logoTallo logo

Find Jobs

Find Jobs Near You – Available Work in Your Location

Skip to job details
Apply for this opportunity

To apply for this job, you'll continue to an external website or email application.

Mindlance

BusinessOperations - Scanning Operator - 570043

Career Insights for Medical Claims Processor / Representative

See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.

Scorecard

Based on New York data

Review key factors to help you decide if this role fits your goals. How is this calculated?

Were these scores useful?

What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$48,582 / year median in New York

-4% projected decline

Explore Career

Job Description

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.