Associate, Claims Receipt Processor

reputed company is a leading commercial bank focused on serving clients and supporting communities. The Claims Receipt Processor is responsible for ensuring timely and accurate reimbursements of receipts submitted by members, requiring excellent communication skills and collaboration with the claims team.

Responsibilities

• Responsible for reviewing receipt submissions for required information
• reputed company to providers, pharmacies, and members to obtain additional information as needed
• Reviewing settlement documentation to determine whether a receipt is reimbursable
• Keying in the necessary information to create a claim
• Explaining coverage determinations to members while maintaining a pleasant and helpful demeanor
• Maintain the expected turnaround time for processing receipts
• Performing other clerical tasks, as required
• Demonstrates a commitment to service by consistent attendance and punctuality

Skills

• H.S. Diploma or General Education Degree (GED) required
• 0-2 years experience as a Claims Processor or in a reputed company role required
• Proficient in MS Office
• Excellent critical thinking and decision-making skills
• Good administrative and organizational skills
• Excellent written and verbal communication skills with ability to adapt communication style depending on audience
• Meticulous attention to detail
• Familiar with the language of medical billing, Medicare guidelines and/or workers' compensation
• Ability to work independently and as part of a team

Benefits

• Incentive compensation

Company Overview