| Location | Getzville, NY |
| Salary | $18.50 Per Hour |
| 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 | ||||||
| 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: 1D2 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 | ||||||
| 1 | Microsoft Windows o/s familiarity | ||||
| 2 | Attention to detail | |||||
| 3 | Ability to ask questions & learn from on-the-job training. | |||||
| Candidate Review & Selection | ||||||
| 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. | |||||