Operations Administrator I (Claims Processor)

Onebridge Benefits IncBuffalo, NY
5h$18

About The Position

Our Operations Administrator is part of our Operations Team and would be relied upon to play an integral role in the processing of OneBridge supported account-base Health Plans including eligibility, enrollment, and claims. A successful candidate would be ready to embrace the following key responsibilities:

Requirements

  • Six months of medical claims processing/medical billing experience, customer service experience preferably in a healthcare-related or social services setting; or a combination of experience
  • Accurate data entry skills, detail orientated and highly organized
  • Proficiency Microsoft Office products
  • Ability to meet or exceed quality standards for entered information
  • Individually driven as well as dedicated to working collaboratively with the team
  • Ability to meet all department goals to include accuracy and productivity
  • Excellent written and verbal communication skills
  • Strong analytical, problem-solving, and decision-making skills
  • Flexibility to work additional hours as needed

Nice To Haves

  • High school or equivalent (Preferred)

Responsibilities

  • Transcribe data accurately from multiple document sources into recordkeeping system
  • Evaluate and process reimbursement claim submissions in accordance with company policies and IRS guidelines
  • Review and apply appropriate action to incoming documents from covered participants and employer groups
  • Analyze data from reports and system information to identify and resolve errors prior to final substantiation
  • Collaboratively work with customer service vendors to provide first-class responses to service
  • Consistently maintain production standards based on metrics and processing goals

Benefits

  • 401(k)
  • Medical Insurance
  • Paid Time Off
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