Verification/Pay to Processor

Responsibilities

·        Access Medical claims Processing System (QNXT), DMS (Document Management System), Vitech(V3), 837 workflow and batches of claims to be verified

·        Update incorrect and incomplete data that appears in DMS; key in missing information and proceed to next field until all items on medical claims are verified

·        Use reference files such as enrollment and provider records to verify accuracy of data

·        Ensure that all entered items accurately reflect information submitted by the provider

·        Provide clerical support to the department including but not limited to: filing, copying, faxing, typing, delivering, etc.

·        Perform additional duties and projects as assigned by management

Qualifications

·        High school Diploma or GED required, some college or degree a plus

·        Minimum one (1) year clerical experience in a general office environment required

·        Good key boarding skills required

·        Excellent attention to details and ability to detect and correct error errors as appropriate

·        Able to prioritize, follow through on assignments, and multi-task

·        Good communication skills and legible handwriting

·        Must meet performance standards including attendance and punctuality