Claims Assistant (6 Month Contract)

Claims Assistant (6 Month Contract)

Under the supervision of the Support Supervisor, the entry-level Claims Assistant is responsible for supporting processes for the claims department. Key responsibilities include keying provider invoices, repricing outpatient hospital claims, auditing pre-check registers, and mailing checks, EOBs and various letters to providers.

Technical Skills:

· Communicates clearly and concisely, with sensitivity to the needs of others

· Maintains courteous, helpful and professional behavior on the job; displays a willingness and ability to be responsive in a warm and caring manner to all customer groups; consistently cooperates and supports organization in problem solving issues; will support the success of the entire team; establishes and maintains effective working relationships with co-workers

· Follows all Policies and Procedures and HIPAA regulations

· Maintains a safe working environment

· Maintains the confidentiality of all company procedures, results, and information about participants, clients, providers and employees

· Establishes and maintains effective working relationships with co-workers

Process Skills:

Clerical

o Key various types of invoices into claims system

o Reprice inpatient and outpatient hospital claims

o Mail reject and denial letters to providers

o Review weekly pre-check registers

o Prepare provider checks and EOBs for mailing

o Assists with phone coverage

o Special projects as assigned

Behavioral Skills:

· Communicates by way of the telephone with participants, customers, vendors and staff

· Operates a computer and other office productivity machinery, such as a calculator, copy machine, fax machine and office printer

· Remains stationary for extended periods of time

· Occasionally exerts up to 20 pounds of force to lift, carry, push, pull or move objects

· Visual acuity to perform activities such as identifying, inputting and analyzing data on a computer terminal and/or in hard copy

· Occasional reaching to retrieve shelved items

Certification:

· Education/Experience – Educational requirements include a high school diploma or equivalent.

· Minimum of one year of previous office experience required

· Familiarity with health insurance processes or medical billing is strongly preferred

· Requires strong knowledge of current computer technology, including the use of computers; Intermediate level of knowledge and proficiency with associated software, including Word, Excel and Outlook. Experience with mail merge is preferred. Working knowledge of health insurance is helpful.

· Skilled in establishing and maintaining effective working relationships with co-workers and clients

· Skilled in problem resolution; recommends suggestions to increase accuracy and/or efficiency

· Detail oriented with strong analytical skills

· Ability to work independently, seeking supervision as needed

· Ability to communicate professionally, clearly and effectively, verbally and in writing

· Ability to effectively fulfill all functions of the position

No substantial exposure to adverse environmental conditions is expected

Moderate pressure to meet scheduled appointments and deadlines

Job Type: Full-time

Salary: $18.00 per hour

Schedule:

• Day shift
• Monday to Friday

Work setting:

• In-person

Ability to commute/relocate:

• St. Louis, MO 63119: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Position is 6 month contract. Is that okay?
• What is your contact information? Phone number and email address.
• Pay is $18 hourly. Does that work for you?

Education:

• High school or equivalent (Required)

Experience:

• working in office: 1 year (Required)
• health insurance processes or medical billing: 1 year (Required)

Work Location: In person