Claims Support

Minneapolis, MN

Humera is seeking a Claims Support Representative for our client, a large health insurance provider who delivers high quality coverage and services to help members of all ages maintain and improve their health. The individual in this role will be responsible to perform a variety of support functions for the CCO Department including - sort and count incoming mail as well as scan documents and various other correspondence for a variety of departments.

Duties

  • Sort incoming mail according to department-specified sort criteria.
  • Count and file specified claim types that are not scanned prior to payment.
  • Operate in the Formworks application to move and assign work to department work queues. Editing of unreadable documents and faxes. Perform data entry functions.
  • Deliver documents to internal departments via Macess-EXP.
  • Accurate and timely entry of DTR letters into Amisys.
  • Doc triage documents that are unsuited for the Formworks such as faxes, enrollment applications, and claim adjustments.
  • Identify and forward subrogation documents to Optum.
  • Review and respond to correspondences received in the claim fax mailbox.
  • Prep miscellaneous mail and member correspondences to be scanned.
  • Navigate in Amisys to locate essential information as needed.
  • File scanned enrollment applications, claims, and correspondence. Retrieve scanned/paper enrollment applications or claims as needed.
  • Other projects and duties as needed.

Requirements

Education

  • High school diploma or equivalent.
Required
  • One year of general business office experience required, preferably in a healthcare environment.
Preferred
  • PC or other computer system experience preferred. Familiarity with medical claims preferred.

Post Date: 01.09.2019

Salary: Contact for Rate

Shift: 1st

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If you would prefer to speak directly to a Humera Staffing Consultant, please call us at 612-977-1440 and reference OrderID 816331


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For more than 45 years you may have known us as Dolphin Staffing - a name synonymous with quality temporary, and direct hire employment in the Minnesota. Today we are Humera - a boutique staffing agency that specializes in the placement of the best and brightest administrative and professional talent for contract, contract to hire and direct hire opportunities. Although we have changed our name, we continue to provide flexible career opportunities across a broad range of industries and with companies large and small. We invite you to become part of our elite workforce today!

Humera Administrative and Professional Staffing is an Equal Opportunity Employer.