[Hiring] Temporary NSA Claims Data Intake Specialist @Claritev

Role Description

This position supports the department by reviewing, researching, and preparing incoming client and provider submissions for next steps as it relates to No Surprise Act. The position will perform a variety of administrative duties to ensure proper processing of information timely and accurately to maintain departmental quality and turnaround requirements.

• Analyze email and/or portal submissions to create cases, attach appropriate documentation, populate applicable required system fields, and prepare submissions accordingly for next steps.
• Perform timely data entry in all applicable systems and conduct timely outreach to providers and/or clients to obtain necessary information.
• Perform claim and system research and determine next steps for appropriate routing, which may include adjustment of medical claims.
• Log information derived from written and verbal communications using detailed and accurate documentation.
• Meet required production and quality standards.
• Provide excellent customer service and strive to continuously improve service delivery according to departmental and corporate guidelines and principles.
• Collaborate, coordinate, and communicate across disciplines and departments.
• Ensure compliance with HIPAA regulations and requirements.
• Demonstrate Company's Core Competencies and values held within.
• Please note due to the exposure of PHI sensitive data -- this role is considered to be a High-Risk Role.
• The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Qualifications

• Minimum High School Diploma or GED.
• Minimum 1 year experience in healthcare environment required, experience with medical claims processing highly desired.
• Knowledge of word processing and spreadsheet software, MS Office, required.
• Excellent communication, organization, and attention to detail skills.
• Ability to follow through and work under deadlines.
• Service oriented, flexible, and ability to work under pressure.
• Works well in both individual and team environments.
• Required licensures, professional certifications, and/or Board certifications as applicable.
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier, and telephone.

Requirements

• Salary range for this position is $17 per hour.
• Specific offers take into account a candidate’s education, experience, and skills, as well as the candidate’s work location and internal equity.
• This position is also eligible for health insurance and 401k.

EEO Statement

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Application Deadline

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.