Claims Support Tech

Driscoll Children's HospitalCorpus Christi, TX

About The Position

The Claims Support Tech handles incoming claims and claims-related correspondence, scanning go documentation, claims data validation, manual claim entry and other related work in support of the Claims Administration department.

Requirements

  • Minimum High school graduate or GED required.
  • One year certification from college or technical school, or one-year related experience and/or equivalent combination of education and experience.

Responsibilities

  • Assists with the operations of the Claims Administration department.
  • Ensures all incoming claims and claims-related correspondence are handled and processed efficiently and promptly, according to departmental procedures.
  • Performs scanning and data validation and correction of paper claims documentation to ensure accuracy of claims OCR data.
  • Performs manual entry of submitted claims data as needed.
  • Effectively prioritizes and completes all assigned tasks within appropriate timeframes and with required level of quality.
  • Openly participates in team meetings, providing ideas and suggestions to ensure departmental efficiency and quality, and to promote teamwork.
  • Maintain required compliance with privacy and confidentiality standards.
  • Maintains or exceeds all established standards for performance, quality and timeliness.
  • Supports the Claims department in review, investigation, and research of claims documentation issues.
  • Demonstrate business practices and personal actions that are ethical and adhere to all Health System and Health Plan policies and procedures.
  • Assists with other related work responsibilities as requested.
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