Claims Processor

Claims Processor

  Not Disclosed

  MASON , OH

  4.0 Months

  Not Disclosed

  Not Disclosed

  Services

  $16.52/hour - $18.52/hour

Job Description

Description/Comment:

Claims Processor

The ideal candidate will be responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with and/or on behalf of a team of Implementation Specialists.
Responsibilities during this assignment can include:

Execute the preliminary steps to build a new client structure for implementation requests routed through shared Salesforce queue; using standard client set-up guideline(s) and process(es)
Initiation of and accurate and timely tracking for all completed tasks using proprietary Salesforce Implementation Tracker Project Management tool
Benefit set-up validation in core Facets system and communicating to implementation owners any discrepancies with expected outcome
Execution of new client online portal access set-up; includes sending the appropriate communication email templates, tracking status and reporting any identified issues.
Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators (TPA’s)
Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing.

Characteristics of an ideal candidate:

Ability to learn and adopt new processes quickly and with eas
Ability to work remotely and autonomously
Accustomed to working in a high-paced, high-volume environment Strong attention to detail
Medium-Advance level of expertise with Microsoft Excel
Proficient with Outlook
Familiar with Cloud-based applications (i.e. OneDrive)
Ability to multi-task and perform duties using multiple sources or systems; Data Entry experience preferred
Ability to clearly articulate findings, issues or concerns requiring resolution

Note :

HYBRID - 2-3x in Office.
Hours: M-F/Full-Time; 8-4:30 (30-Minute lunch)Must have adequate WFH space and follow all the client remote protocol.
LOOKING FOR CANDIDATE WITH A LOT OF EXCEL EXPERIENCE-would love someone with Medicare/Medicaid knowledge as well
RESCREEN AND DATA ENTRY SCORE REQUIRED
Data entry scores must be 9000 ksmp before they can be considered.
Hours: M-F/Full-Time; 8-4:30 (30-Minute lunch)
Must be able to come into office for computer pick up and training and if directive is otherwise given.
Years of Experience 3- 5 years
Work hours: 8-5 pm (Full time)
Length of assignment: Temp to hire or extensions)
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status