Temporary NSA Claims Data Intake Specialist

Claritev•New York, NY

4d•Onsite

About The Position

This position supports the department by reviewing, researching and preparing incoming client and provider submissions for next steps as it relates to No Surprise Act. Position will perform a variety of administrative duties to ensure proper processing of information timely and accurately to maintain departmental quality and turn around requirements.

Requirements

Minimum High School Diploma or GED
Minimum 1 year experience in healthcare environment required, experience with medical claims processing highly desired
Knowledge of word processing and spreadsheet software, MS Office, required.
Excellent communication, organization and attention to detail skills
Ability to follow through and work under deadlines
Service oriented, flexible and ability to work under pressure
Works well in both individual and team environments.
Required licensures, professional certifications, and/or Board certifications as applicable
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

Responsibilities

Analyze email and/or portal submissions to create cases, attach appropriate documentation, populate applicable required system fields, prepare submission accordingly for next steps.
Perform timely data entry in all applicable systems and perform timely outreach to providers and/or clients to obtain necessary information.
Perform claim and system research and determine next steps for appropriate routing, which may include adjustment of medical claims.
Log information derived from written and verbal communications using detailed and accurate documentation.
Meet required production and quality standards.
Provide excellent customer service and strive to continuously improve service delivery according to departmental and corporate guidelines and principles.
Collaborate, coordinate, and communicate across disciplines and departments.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate Company's Core Competencies and values held within.
Please note due to the exposure of PHI sensitive data -- this role is considered to be a High-Risk Role.
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.

Benefits

health insurance
401k
bonus opportunity
Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits