Summary
Location
Corpus Christi
Type
full-time
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About this role
Where compassion meets innovation and technology and our employees are family.
Thank you for your interest in joining our team! Please review the job information below.
General Purpose of Job:
The Claims Support Tech handles incoming claims and claims-related correspondence, scanning go documentation, claims data validation, manual claim entry and other related work in support of the Claims Administration department.
Essential Duties and Responsibilities:
- Assists with the operations of the Claims Administration department.
- Ensures all incoming claims and claims-related correspondence are handled and processed efficiently and promptly, according to departmental procedures.
- Performs scanning and data validation, and correction of paper claims documentation to ensure accuracy of claims OCR data.
- Performs manual entry of submitted claims data as needed.
- Effectively prioritizes and completes all assigned tasks within appropriate timeframes and with the required level of quality.
- Openly participates in team meetings, providing ideas and suggestions to ensure departmental efficiency and quality, and to promote teamwork.
- Maintain required compliance with privacy and confidentiality standards.
- Maintains or exceeds all established standards for performance, quality, and timeliness.
- Supports the Claims department in review, investigation, and research of claims documentation issues.
- Demonstrates business practices and personal actions that are ethical and adhere to all Health System and Health Plan policies and procedures.
- Assists with other related work responsibilities as requested.
Knowledge skills and Abilities
- Experience with Microsoft Office, specifically Excel and Word.
- Experience working with OCR scanning preferred.
- Knowledge of CMS-1500 and UB-04 claim form types
- Ability to effectively communicate, both verbally and in writing.
- Ability to work independently, or to collaborate in a team environment, toward meeting common goals.
- Ability to multi-task and meet deadlines in a fast-paced environment.
- Integrity and discretion to maintain confidentiality of member and provider data.
Education and/or Experience: Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying.
- One year certification from college or technical school, or one-year related experience and/or equivalent combination of education and experience.
- Minimum High school graduate or GED required
Other facts
About DRISCOLL HEALTH PLAN
DRISCOLL CHILDRENS HEALTH PLAN is a hospital & health care company based out of 615 N Upper Broadway St, Corpus Christi, TX, United States.
DHP is a non-profit, community based health insurance plan in south Texas which is part of the Driscoll Children's Health System. DHP products include STAR Medicaid, STAR Kids, CHIP, and CHIP Perinatal plans and covers 24 counties with over 6,000 providers and 230,000 members within the Driscoll network.
What you'll do
- The Claims Support Tech handles incoming claims and claims-related correspondence, ensuring efficient processing according to departmental procedures. They also assist with data validation and manual entry of claims data.
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