Claims Support Tech

20 Driscoll Children's Health Plan; Corpus Christi (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Driscoll Health System seeks a Claims Support Tech to handle incoming claims, scanning, data validation, and manual entry in support of the Claims Administration department. The role emphasizes accuracy, timely processing, and adherence to privacy standards.

The position requires at least a one-year certificate or equivalent, or a high school diploma, with experience in claims processing and data management. Join a mission-driven health system serving South Texas communities.

Qualifications

• One year certificate or related experience preferred.
• Minimum High school graduate or GED required.

Responsibilities

• Assists with the operations of the Claims Administration department.
• Ensures all incoming claims and related correspondence are processed efficiently and promptly.
• Performs scanning and data validation and correction of paper claims documentation for OCR accuracy.
• Performs manual entry of submitted claims data as needed.
• Maintains compliance with privacy and confidentiality standards.

Skills

Data entry

Claims processing

Data validation

Attention to detail

Education

One year certificate or equivalent

High school diploma or GED

Tools

OCR software

Job description

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below.

GENERAL PURPOSE OF JOB

The Claims Support Tech handles incoming claims and claims-related correspondence, scanning of documentation, claims data validation, manual claim entry and other related work in support of the Claims Administration department

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Assists with the operations of the Claims Administration department
2. Ensures all incoming claims and claims-related correspondence is handled and processed efficiently and promptly, according to departmental procedures.
3. Performs scanning and data validation and correction of paper claims documentation to ensure accuracy of claims OCR data
4. Performs manual entry of submitted claims data as needed.
5. Effectively prioritizes and completes all assigned tasks within appropriate timeframes and with required level of quality.
6. Openly participates in team meetings, providing ideas and suggestions to ensure departmental efficiency and quality, and to promote teamwork.
7. Maintain required compliance with privacy and confidentiality standards.
8. Maintains or exceeds all established standards for performance, quality and timeliness.
9. Supports the Claims department in review, investigation, and research of claims documentation issues.
10. Demonstrates business practices and personal actions that are ethical and adhere to all Health System and Health Plan policies and procedures.
11. Assists with other related work responsibilities as requested.

EDUCATION AND/OR EXPERIENCE

• One year certificate from college or technical school, or one-year related experience and/or equivalent combination of education and experience.
• Minimum High school graduate or GED required.

Until all children are well. Driscoll Children’s Hospital and its specialty centers, urgent care centers, and after-hours facility serve a vast area covering 31 South Texas counties. The hospital is a 191-bed tertiary care center offering 32 medical and 13 surgical specialties. Combined with our non-profit, community-based Health Plan, Driscoll Health System is an exceptional workplace for anyone with a big heart and a drive for success. Smiles, hugs and a soothing touch are as much a part of Driscoll’s approach to treating children as is its advanced medical treatments and technologies. The core values at Driscoll Heath System are: Compassion, Advocacy, Respect, Excellence, and Stewardship. These values are exemplified through every position - from treating the most critical patients hands‑on, to maintaining a clean environment, to keeping the organization running from behind the scenes. We invite you to learn about Driscoll’s rich history and explore the laidback lifestyle South Texas has to offer.