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Entry Level Data Entry Specialist
1 month ago
Claims Specialist
Bedford, MA (100% onsite)
Description:
Purpose
Perform general tasks in the EDI Department on the Billing Team. Team handles all aspects of the paper and electronic billing process and works to ensure clean billing protocols and document integrity.
Qualifications
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
- High School Diploma or equivalent combination of education and experience required.
Computer Skills
- 1+ year of Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
Experience
- Proven organizational skills and ability to work in a fast paced environment required.
Specific Job Knowledge, Skill and Ability
- Ability to add, to subtract, multiply and divide in all units of measure
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
- Ability to write routine reports and correspondence
- Ability to communicate effectively verbally and in writing
- Ability to apply common sense understanding to carry out instructions
- Specific vision abilities required by this job include close vision
- Adhere to the Code of Conduct and be familiar with all compliance policies and procedures
- Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms
Duties and Responsibilities
- Printing of paper claims for all Allscripts databases
- Sort in appropriate order
- Follow detailed handling instructions
- Deliver to the appropriate department employee
- Work daily custom reports for client specific issues
- Edit information in Allscripts PM as appropriate
- Complete the following non-paper claims tasks:
- Monitor daily Validations Process and conduct clean-up & work with Charge Entry Team for them to handle their portion
- Voiding and Re-entering paper claims in Allscripts
- Auditing teammates log sheets
- Review all COVID paper claims in Allscripts to see what user did the paper claim drop & facilitate reeducation with their manager
- Manage MD claim balances
