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You will be updated with latest job alerts via emailTechnical Skills:
- Generate pre-check register and authorization form for clients.
- Verify approvals have been received.
- Modify pre-check based on approvals received, ensuring the batch ties to the client approval.
- Generate export file from claims system for check printing.
- Obtain secondary approval from clients in situations with interest payments, prior to releasing export file for check printing.
- Import check register file into claims system.
- Coordinate voided checks with the claims department.
Additional Functions:
- Assists with special projects, as requested.
- Communicates clearly and concisely, with sensitivity to the needs of others.
- Maintains the confidentiality of all company procedures, results, and information about participants, clients, providers and employees.
- Maintains courteous, helpful and professional behavior on the job.
- Establishes and maintains effective working relationships with co-workers.
- Ensures customer satisfaction by understanding and applying the Customer Service Policy, Procedure and Standards.
- Follows all Policies and Procedures and HIPAA regulations.
- Maintains knowledge and understanding of current Medicare regulations related to PACE Health Plan Management.
- Maintains a safe working environment.
- Maintains knowledge and understanding of current Medicare claims processing guidelines.
- Attends continuing education seminars as requested.
Full Time