Claims Support Tech

Driscoll Health Plan; Corpus Christi (TX); On-site; USD 30,000 - 46,000; Full time

Job summary

Driscoll Health Plan in Corpus Christi, TX is seeking a Claims Support Tech to handle incoming claims, scan documentation, validate data, and perform manual data entry in support of the Claims Administration department.

Responsibilities include maintaining privacy compliance, prioritizing tasks, participating in team meetings, and assisting with investigation of claims documentation issues, all while upholding company policies and quality standards.

Qualifications

• 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.

Responsibilities

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

Skills

Data entry

Data validation

OCR data handling

Teamwork

Education

High school diploma or GED

Certificate from college or technical school

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.