Clearinghouse Claim Verifier

Location: St. Petersburg, FL

Summary:

Reviews daily claim data file to match pertinent member and provider information to enable the processing of paper claims to electronic format. Point of quality control for clean claim processing. 

Essential Duties and Responsibilities:

  • Review daily claim data file to match member and provider information
  • Add provider address updates
  • Review outstanding claims following eligibility update

Other Responsibilities:

  • Adheres to the policies and procedures of company
  • Maintains strict confidentiality of client, company and personnel information
  • Demonstrates a strong commitment to the mission and values of the organization
  • Adheres to company attendance standards
  • Performs other duties as assigned

Supervisory Responsibilities:  None

Competencies:

  • Strong organizational and interpersonal skills
  • Excellent written and verbal communication skills
  • Detail oriented
  • Ability to multi-task and work independently

Qualifications:

  • Prior Data Entry Experience Preferred
  • Proficiency using a Windows 7/PC computer platform
  • Good Organizational Skills
  • Basic Math Skill
  • High level of reasoning ability and analytical skills
  • Ability to sit for long periods of time, ability to perform repetitive motions with use of a computer keyboard

Education and/or Experience: High School Graduate or GED

Certificates, Licenses, Registrations:  None

Computer Skills:

Proficiency using software programs such as MS Word, ACCESS, PowerPoint, Excel and Outlook

Environmental Factors/Physical Demands:

Work is performed in an office environment. While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. May be subject to repetitive motion such as typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds.

To apply, please forward resume to careers@chsamerica.com

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