SUMMARY:

The position is responsible for processing all administrative functions required to prepare claims for processing by Claims Analysts.

DUTIES AND RESPONSIBILITIES:

• Scanning all claim forms;
• Editing all errors and/or inquiry areas on claim forms;
• When/where possible, correcting information using the scanning software edit function, so claim can proceed;
• Working to ensure batches are prepared and committed regularly and consistently;
• Alerting Claims management of any unusual encounters in terms of quantity or quality.
• Processing all return mail, preparing same for mailing, and then performing the mailing process within allowable timeframes.
• Assisting with opening and sorting incoming mail to be processed;
• Log all batches that have been worked for the day.
• Identifying corrected claims and notes updated in Plexis for the Claims Analysts.
• Count batches the following morning in the drawer to provide totals and latest dates. 
• Purge all the claims verified, once all claims have been received from Multiplan.
• Perform miscellaneous job-related duties as required.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Familiarity with the scanning equipment;
• Ability to use correction/editing software;
• Familiarity with printers and mailing equipment (sorters, folders,) for processing outgoing claims materials. 
• Ability to work independently, but also a team player.

To apply please email cover letter and resume to employment@asrmllc.com

SUMMARY:

The position is responsible for providing timely, accurate, and professional support to members, providers, and clients regarding eligibility, claims status, and general benefit inquiries.

DUTIES AND RESPONSIBILITIES:

• Answer incoming calls and respond to written inquiries from members, providers, and clients;
• Research and resolve eligibility, claim status, and benefits-related questions;
• Document all interactions accurately and thoroughly within the system;
• Escalate complex issues to appropriate internal departments when necessary;
• Maintain current knowledge of client-specific plan designs and administrative guidelines;
• Assist with outbound calls as needed for follow-up or clarification;
• Support processing teams by identifying trends or recurring issues;
• Meet established productivity, quality, and service level standards;
• Perform miscellaneous job-related duties as required.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Strong verbal and written communication skills;
• Ability to navigate multiple systems efficiently;
• Attention to detail and accuracy in documentation;
• Professional demeanor with the ability to manage difficult conversations calmly;
• Ability to work independently, but also a team player;
• Basic knowledge of medical claims and eligibility processes preferred.

To apply please email cover letter and resume to employment@asrmllc.com