Claims Specialist (CA)

The GT Self Determination Claims Specialist maintains a core understanding of the company and of Operations. The GT Self Determination Claims Specialist is expected to follow departmental procedures and adhere to GT and agency guidelines to ensure work is completed accurately and efficiently. The GT Self Determination Claims Specialist maintains knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies in which GT Independence holds a contract. All GT Self Determination Claims Specialists must maintain a core understanding of the company and of Operations.

RESPONSIBILITIES AND DUTIES

• Preparation of billing data to be used in the billing of payers

• Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports

• Submit invoices to agencies

• Applies payments

• Collects on unpaid claims

• Prepares advance reconciliations and applies payments to the general ledger

• Enters information into computer databases for effective record keeping

• Collaborates with other staff members to optimize delivery of services

• Ensures all compliance standards are met for audit purposes

• Maintains confidentiality of records relating to clients

• Identifies opportunities to improve our processes

• Upholds company values and mission

• Other duties as assigned

EDUCATION

High School Diploma or GED required

Associate degree preferred

EXPERIENCE AND QUALIFICATIONS

• 2 years of experience relevant to the work performed

• Experience with Microsoft Office products is necessary, specifically Microsoft Excel

• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology

• Excellent written and oral communication skills

• Ability to plan and organize daily work to meet strict deadlines

• Strong attention to detail

• Able to work with numbers and apply basic math skills to daily tasks

• Strong ability to participate on a highly effective team

WORK ENVIRONMENT

Work is performed in a typical office setting or from a home office.

Equal Opportunity Employer
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