What are the responsibilities and job description for the Data Entry Specialist position at Integrated Resources, Inc ( IRI )?
Title: Claims Processor
Duration: 1 Month and Possibility of Extension
Location: Mason OH
Work hours: 8 - 5pm with hour lunch, or 8-430 with 30 minute lunch.
NOTE - DATA ENTRY TEST SCORES MUST BE LISTED ON THE RESUME
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Onsite 5 days a week for first few months will be workplace only with possible hybrid opportunity with 3 days office and 2 days remote - possible not guaranteed
REASON FOR REQUEST: Temporary Resource to support a Medically Necessary Contacts Processing
GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES:
• Processing - Efficiently and accurately processes standard claims or adjustments
• Consistently achieves key internals with respect to production, cycle time, and quality
• May participate on non-complex special claims projects initiatives, including network efforts
• Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
• Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Client Account Managers, Operations, Information Systems, Client Representatives and Client leadership team
• Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
• Proactively works with supervisor to develop self-remediation plan when standards are not being met
KNOWLEDGE & SKILLS:
• Data entry and claims processing knowledge
• Has a working knowledge of interface systems that include the Client claims system, Metastorm, Exclaim and EyeNet
• Some basic working knowledge of software programs, specifically Excel and Access
• Understands third party benefits and administration
• Strong customer service focus
• Ability to work well under pressure and multi-task
EXPERIENCE:
• 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION: High school mandatory
Salary : $19