Data Support Associate at Claritev

United States

JOB SUMMARY: Provide high quality and efficient clerical or administrative support. Provide necessary information for completion of claims workflow.   JOB ROLES AND RESPONSIBILITIES:<br/>1. Review, validate, and maintain provider data. <br/>2. Route and process incoming faxes.<br/>3. Perform review and validation of potential duplicate claims.<br/>4. Responsible for departmental shared email boxes.<br/>5. Perform timely data entry of manual claims received &amp; return outcome to Clients when applicable.<br/>6. Obtain supporting data on claims which may include but not be limited to, information for appropriate routing and business rule application.<br/>7. Intake and create inquiries/appeals in all applicable systems; which may include call center responsibility.<br/>8. Complete departmental reports, as required.<br/>9. Provide backup duties for Vendors as needed.<br/>10. Collaborate, coordinate, and communicate across disciplines and departments.<br/>11. Ensure compliance with HIPAA regulations and requirements.<br/>12. Demonstrate Company's Core Competencies and values held within. 13. Flexible hours<br/>14. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.<br/>15. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. JOB SCOPE:<br/>The incumbent keeps the needs of external and internal customers as a priority when making decisions and taking action. The incumbent relies on established guidelines, policies, and procedures, allowing for little to no exercise of independent judgment. Accurate and timely processing of claim documents and requests directly impacts company revenue and client savings. <strong><span>Qualifications</span></strong> JOB REQUIREMENTS (Education, Experience, and Training):<br/>* Minimum high school diploma or equivalent (i.e., GED) <br/>* Minimum equivalent of 3 months general office experience 6 months preferred. <br/>* Required licensures, professional certifications, and/or Board certifications as applicable<br/>* Knowledge of general computer skills.<br/>* Knowledge of HCFA 1500 and UB claim forms <br/>* Communication (written, verbal and listening), customer service, and organizational skills.<br/>* Ability to process verbal and written instructions.<br/>* Ability to multi-task<br/>* Ability to use software, hardware and peripherals related to job responsibilities including MS Office Suites, Word, Excel, Outlook, Internet, and Google searches.<br/>* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone   <br/>As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.