What are the responsibilities and job description for the Claims Payable Analyst position at Midwest Insurance Company?
GENERAL DESCRIPTION
The Claims Payable Analyst completes the entry of stamped approved payables and independently processes payables for their assigned claim units up to a limit of $1,500 dollars.
ESSENTIAL FUNCTIONS
- Independently processes claim payables subject to authority limits.
- Support team by completing bill review approval via Rising’s vision portal.
- Complete initial and supplemental claim review analysis in conjunction with bill payment/processing.
- Work with assigned Analyst to ensure timely payment of all billing, calculation and issuance of penalties, when appropriate.
- Request medical records at time of bill review, if not contained in the imaged file.
- Handle all bill processing inquiries.
- Timely completion of vendor update/approval requests.
- Processing of check voids, stop payment requests and stale date checks from/to accounting.
- Check verification, EOR matching and mailing of all checks.
- Continually update knowledge of controlling state workers’ compensation law as it pertains to payable processing.
- Other duties and projects as assigned.
COMPETENCIES / QUALIFICATIONS
- Professional telephone demeanor, good verbal and written communication skills, good listening skills, along with strong organizational skills.
- Thorough knowledge of workers’ compensation claims procedures and policies.
- Possess a strong understanding of human nature and motivation principles.
- Readily control/handle problem issues in times of stress and in a climate of conflict and/or adversity.
- Computer literacy including strong familiarity with Microsoft Office Suite. Ability to type 45 WPM.
- Basic understanding of business technology.
- Responsiveness to changing business needs.
- Ability to work well under pressure and multi-task in a fast paced environment while continually paying attention to detail.
- Ability to adhere to the code of ethical conduct.
- Ability to take direction and make decisions.
- Ability to learn new procedures quickly and adapt to a changing environment.
- Ability to work in a team environment.
- Ability to work with limited supervision.
EDUCATION / EXPERIENCE REQUIREMENTS
- Minimum Education: High School Diploma or equivalent.
- Preferred Education: College degree preferred.
- 1-2 years of relevant claims processing experience preferable in the workers’ compensation field or similar experience.
- Medical bill coding experience is preferred.
- Desire for career development within the insurance industry.
Pay: Up to $21.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Referral program
- Vision insurance
Education:
- High school or equivalent (Required)
Experience:
- Claims Processing: 1 year (Preferred)
Work Location: In person
Salary : $21