Document Analyst

Blue Cross Blue Shield of Michigan; Lansing (MI); On-site; USD 35,000 - 55,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking a detail-oriented Document Management Specialist in Lansing, Michigan. The ideal candidate will support the management of documents by analyzing, indexing, and inputting information into the claim system.

This role requires excellent communication skills, attention to detail, and a high school diploma. Previous office experience is necessary, along with knowledge of medical and legal terminology. Join a respected team in a stable office setting.

Qualifications

• Minimum two years general office experience.
• Previous relevant experience reviewing document types.
• Ability to train and coach others.

Responsibilities

• Analyzes incoming documents and assigns sub types.
• Processes incoming faxes and electronic mail.
• Maintains scanning equipment in working order.

Skills

Excellent verbal and written communication skills

Excellent customer service skills

Basic knowledge of computers and spreadsheet software

Basic knowledge of word processing software

Ability to proofread correspondence for accuracy

Ability to manage multiple priorities and meet deadlines

Excellent organizational skills

Knowledge of medical terminology

Knowledge of legal terminology

Education

High school diploma or G.E.D

Job description

SUMMARY

Primarily responsible for supporting the management of the all files by analyzing, indexing, e-indexing, and assigning a sub document type to all documents received by Departments within the Enterprise. Also responsible for identifying key information on documents and inputting information into the keywords of the document and in the appropriate data fields in the claim system.

PRIMARY RESPONSIBILITIES

• Analyzes incoming documents and assigns the appropriate document sub type to them
• Reviews each document and adds pertinent information to the document keywords and to appropriate data fields in the claim system
• Opens, sorts, prepares, bundles, scans, and validates/verifies physical and electronic mail for all departments daily.
• Determine appropriate criteria to accurately index an electronic image to initiate workflow to the proper department.
• Performs computer inquires through multiple systems for other departments and verifies member coverage.
• Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages whether physical or electronic.
• Maintains scanning equipment in appropriate working order according to documented guidelines.
• Maintains records according to the corporate retention guidelines.
• Maintains a basic understanding of other department processes and systems to enable accurate interpretation of documents.
• Performs data entry updates to tracking log for all returned Claims issued checks.
• Re-indexes and appropriately routes documents that have been assigned an improper document type or have been attached to an incorrect claim
• Sets priority activities to claim handlers as appropriate upon receipt and review of documents
• Performs other duties and special projects as requested.
• Assists with the creation of procedural documentation and workflows.

EMPLOYMENT QUALIFICATIONS

1. EDUCATION REQUIRED:

High school diploma or G.E.D required with additional training or college-level course work in business or insurance. Combinations of education and experience may be considered in lieu of additional training or coursework.

1. EXPERIENCE REQUIRED:

Minimum two years general office experience that includes previous relevant experience reviewing and providing specific document types to scanned images.

1. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Excellent verbal and written communication skills.
• Excellent customer service skills.
• Basic knowledge of computers and spreadsheet software.
• Basic knowledge of word processing software.
• Ability to proofread correspondence for accuracy of spelling, grammar, punctuation, and format.
• Ability to work effectively with various business units.
• Ability to be an independent thinker to solve issues.
• Ability to manage multiple priorities and meet established deadlines.
• Excellent organizational skills and ability to prioritize work.
• Ability to verify data for accuracy.
• Knowledge of medical terminology.
• Knowledge of legal terminology.
• Ability to train and coach others to perform the core responsibilities.
• Ability to assist with the creation of procedural documentation and workflows.
• Knowledge of multi-functional telephone system.
• Ability to multi-task i.e. interacts on telephone while entering data

1. ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED:

• Previous experience in the workers’ compensation field.
• Previous experience with medical records, medical terminology and administrative support.
• Experience working with scanned images/document management system.
• Experience with state/legal documents.
• Insurance Institute of America (IIA) Certification Experience in Workers’ Compensation Claims Processing.

WORKING CONDITIONS

Work is performed in an office setting with no unusual hazards.