Claims Support Clk I

Claims Processing Clerk

Status - Regular FT Hours of Operation: 9am to 5:30pm

This position is responsible for a variety of clerical duties in support of claims processing which requires a familiarization with standard work routines.

Responsibilities:

• Receives sorts, ages and logs incoming mail/claims.
• Scans claim for completeness and aged multiple corporate receipt dates requiring priority.
• Checks basic subscriber, provider and eligibility information.
• Make corrections to claims.
• Handles general correspondence.
• Prepares internal claim forms and GI letters.
• Adhere to established standard as cited in Service Level Agreement.
• Process surveys and other seasonal corporate documents.
• Prep internal documents from various departments for storage.
• Index claims for retrieval via Content Manager.
• Perform other related duties as assigned.

Qualifications:

• High school graduate or GED equivalent is required.
• Six (6) months experience in a high-volume processing area.
• Ability to use/operate office machines such as desktop PC, calculator, reader printer, hand-held scanner, and photocopier.
• Knowledge of BCBSM claims flows/techniques including sorting, coding, and data entry, some of which may be specific to department.
• Knowledge of BCBSM claims processing terminology, some of which may be specific to department.
• Other related skills and/or abilities may be required to perform this job.