Main Duties/Responsibilities:

• Management of Intake documents
• Sorting, processing and vetting of claims first hand for claims payment
• Electronic transfer of received claims to the various platforms
• Triaging the flow between members and provider claims
• Operates data entry devices to perform a variety of data entry and verification duties
• Use of basic office equipment (including a photocopy machine, facsimile machine) when onsite
• Formats and produce documents
• Peer to Peer Validation Checks
• Triaging the flow of Provider claims- Data Governance
• Works with numbers (i.e., add, subtract, multiply and divide)
• Uses word processing, spreadsheet, database or other software on a computer
• Any other tasks assigned

Skills/Qualities:

• Fluent in English (Verbal & Written)
• Has the ability to complete tasks with little or no supervision
• Self-motivated with a proactive approach
• Exceptional attention to detail and accuracy
• Ability to take ownership
• Work well in a team environment
• Ability to learn in a virtual environment
• Excellent problem solving skills
• Confidentiality Management of Data
• You have graduated with a Diploma or Degree from a recognized institution.