Job Summary


This position provides administrative support all areas within Operations. Using independent judgment to organize and complete all support duties described below.

Essential Functions & Responsibilities
  • Handle incoming work within established time frames, e.g. additional information calls within 2 business days
  • Finalize check researches within 2 business days, filed fee updates within 5 days of receipt
  • Meet or exceed production standards for all job functions
  • Research fax number information on additional information letters including calls to dentists
  • Maintain and resolve check researches for Customer Service department by completing appropriate forms and memos and delivering completed work to the Accounting Department and/or re-mailing. Indexes checks once scanned into our Checks Cabinet and confirms all have been received once overnighted from DDAR.
  • Coordinate with Accounting Department on financial information regarding checks.
  • Researches and prepares information for Corporate Review audits.
  • Processes provider fees on line.
  • Retrieves and indexes via our Document Management System all incoming facsimile information. Opens, stamps, sorts and drags and drops all incoming mail/routed claims for the Customer Service department into our Document Management System.
  • Indexes all documents in our Customer Service cabinet to ensure proper routing for the Customer Service Department.
  • Responsible for daily delivery of reports, photocopies and distributes any listings, memos, correspondence, etc. as requested by other departments.
  • Handles incoming and outgoing Flagship mail received at our street address, electronically or in the Flagship Cabinet, printing preparing documents for scanning and maintaining counts.
  • Handles post office returns (EOB’s and Fast Forward reports)
  • Assists Supervisor when necessary
  • Other duties as assigned

Essential Qualifications

Competencies

Adaptability-Flexibility

Communication Skills


Computer Skills

Customer Focus


Dependabil

Job Knowledge


Productivity

Quality


Teamwork


Knowledge, Skills & Abilities

KPI’s

  • Consistently meet or exceed quality goal of 99% or better

Technical and Functional

  • Possess good organizational skills
  • Must have good research and analytical skills
  • Ability to meet KPI’s:
    • Filed Fees 429/hour
    • Encounter Claim Forms 50/hour
    • Fast forwards (address changes) 60/hour
    • Additionals 11/hour
  • Possess the ability to use Microsoft Word and Excel
  • Good written and oral communication skills
  • Ability to research and troubleshoot problems
  • Demonstrate good proofreading skills
  • Attention to detail

Required Physical Abilities
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Ability to sit and perform extensive close keyboard and PC work
  • Ability to walk, talk or hear
  • Occasionally required to stand and reach with hands and arms

Working Environment
  • Ability to meet deadlines and attendance standards.
  • The noise level in the work environment is usually moderate.
  • This classification will be required to sign a confidentiality agreement.

Experience, Education and Certifications Required

Experience Required
  • One year clerical/administrative experience, preferably in an insurance environment

Required Educational Level
  • Requires high school diploma or equivalent.

Other Certification
  • n/a