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Job Postings

Claims Specialist

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

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