Claims Receipt Processor

Santander•Wilmington, MA

2d•$30,750 - $50,000

About The Position

A Claims Receipt Processor is primarily responsible for ensuring timely and accurate reimbursements of receipts submitted by our members. The position requires excellent phone and email skills with the ability to explain coverage in a way that is understandable to our members. The role works closely with the claims administrators and member care team to keep our members happy and compliant with their settlements.

Requirements

At least 2 years of experience in customer service, reimbursement processing, data entry or in a related role
Proficient in MS Office
Excellent critical thinking and decision-making skills
Good administrative and organizational skills
Excellent written and verbal communication skills with ability to adapt communication style depending on audience
Meticulous attention to detail
Familiar with the language of medical billing, Medicare guidelines and/or workers’ compensation
Ability to work independently and as part of a team
High Diploma and/or GED required

Nice To Haves

Experience with MS Dynamics 365
Phone experience with medical professionals and/or patients

Responsibilities

Responsible for reviewing receipt submissions for required information.
Outreach to providers, pharmacies, and members to obtain additional information as needed.
Reviewing settlement documentation to determine whether a receipt is reimbursable.
Keying in the necessary information to create a claim.
Explaining coverage determinations to members while maintaining a pleasant and helpful demeanor.
Maintain the expected turnaround time for processing receipts.
Performing other clerical tasks, as required.
Demonstrates a commitment to service by consistent attendance and punctuality.