Locations: Remote Time Type: Full time Posted on: Posted Yesterday Job Requisition ID: JR101343
Key Responsibilities: Responsible for entering medical claim forms (i.e. HCFA-1500/UB-04) into in-house database, vendor web tools, etc. Serve as back-up for Scanning and provider service intake. Performs other related responsibilities as assigned. Maintain awareness of and ensure adherence to Zelis standards regarding privacy.
Technical Skills / Knowledge: Has basic understanding of key medical claims billing information that is required for entry into CMS and where that can be found on claim forms (i.e. HCFA-1500/UB-04). Detail oriented and ensures accuracy when entering information from a claim, eliminating future delays and errors related to typo’s or missing information. Computer proficiency and technical aptitude with the ability to utilize CMS and MS Office applications Thorough knowledge of company and departmental policies and procedures
Independence/ Accountability: Requires close daily supervision Ability to follow detailed instructions on assignments Regularly reviews goals and objectives with supervisor Must have professional manner and respect the confidentiality of administrative matters and files Ability to manage and prioritize multiple tasks Ability to work under pressure and meet deadlines
Problem Solving: Recognizes deviations from expected observations Calls attention to results that require analysis Completes work in a timely fashion Outstanding ability to multiplex tasks as required Attention to detail
Leadership Activities: Regularly attends and participates in departmental meetings Must be proactive to ensure proper follow up and completion of projects Must maintain a professional demeanor in sensitive situations Assists other departments as necessary
Communication Skills: Must work well with others Effectively communicates with others by giving and receiving feedback
Customary Education and Experience: High School Diploma 2+ years of experience within healthcare industry preferred. Solid written & verbal communication skills Knowledge of MS Outlook, MS Word, MS Excel & Internet Explorer Strong prioritizing & organizational skills Excellent typing/data entry skills
As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
** According to my research, this position gets paid an estimated $31,000 - $42,000 a year. Got a question about this info? Please feel free to verify this information by contacting the company directly or asking during the interview phase.