What are the responsibilities and job description for the Claims Team Lead position at Verida Inc?
SUMMARY: The Claims Team Lead is responsible for the reconciliation of the provider’s reimbursement request forms. In addition, he/she will be responsible for maintaining all departmental filing and other duties that may be assigned.
ESSENTIAL FUNCTIONS
- Correlate the reimbursement request forms and resubmissions by provider per day in chronological order.
- Approvals and denial for reimbursement and resubmissions.
- Data entry.
- Responsible for generating and distributing copies of denied reimbursement requests to providers.
- Filing all reimbursement forms.
- Assisting with special rates from the call center.
- Relays instructions, messages and other information as requested from the management team.
- Maintains a current working knowledge of all company policies, procedures, rules, regulations and memorandums.
- Responsible and accountable for updating management on changes and/or extraordinary circumstances affecting the company and/or transportation provider.
- Other duties as assigned by management team.
REQUIRED SKILLS AND ABILITIES
- Excellent communications skills oral and written.
- Able to work in a busy environment.
- Able to function effectively in stressful situations.
- Knowledge of reconciliation and customer service policies and procedures.
- Knowledge of Medicaid Non-Emergency Transports preferred.
- Able to handle multiple tasks simultaneously.
- Computer experience.
- Following training, able to adequately implement concepts of Route Logic.
- Able to lift and/or move items up to 25 pounds.
- Must be able to key 8000 keystrokes.
QUALIFICATION
- High School diploma.