POSITION AVAILABLE: Immediately DEPARTMENT: Claims HOURS: 8:30 AM to 5:00 PM JOB SUMMARY: Under the direction of the Senior Claims Manager, the Claims/Data Entry Clerk transfers data from paper claims into database system. ESSENTIAL DUTIES AND RESPONSIBILITIES: Accurately process all routine Provider and Direct Member claims Perform duties such as electronically saving batches, responding to emails, and viewing plan sheets to ensure accurate payments Review data for deficiencies or errors, correcting errors and conducting weekly QA on DMR claims Enter Provider Name and Address in the database for all NON-PAR locations Contact Provider offices to close authorizations and other responsibilities as assigned Requirements: High school diploma, Associates/Bachelors Degree preferred. Three to five years of office experience Must have extensive Claims experience Familiarity with the AS400 is a plus Professional verbal and written communication skills necessary Must be dependable and have good attendance history Must be proficient computer skills, Microsoft office and adobe We are an equal opportunity employer

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