Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Job Title: Processing Clerk
Department: Administration
FLSA Status: Non-Exempt
Summary
Under general supervision, the Processing Clerk is responsible for timely and accurate set up of customer orders, shipping order administration, and receipt and processing of customer payments as well as general office duties.
Essential Functions
The duties listed below are the specific duties and tasks that someone in this position must accomplish (i.e. why the job exists.) These are the core responsibilities of the position that cannot be modified or eliminated. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the level and/or class of this position.
Custom Service
Order Processing
Accounts Receivable
General Office Duties
Education and Experience
Licensing/Certifications
Knowledge, Skills, and Abilities
Equipment, Machinery, Tools, and Vehicles Used
Physical Demands
The physical demands described here are representative of those that an employee must be able to accomplish in order to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
While performing the duties of this job, the employee is regularly required to use hands to manipulate, handle, feel or operate objects, tools or controls; reach with hands and arms; stand; talk and hear; walk; sit, climb or balance; stoop, kneel, crouch or crawl; and lift or move up to fifteen (15) pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral visions, depth perception and the ability to adjust focus.
Mental Demands
While performing the duties of this position, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents, analyze and solve problems, use math and mathematical reasoning; observe and interpret situations; learn and apply new information or new skills; work under deadlines and constant interruptions; interact with staff and other organizations; and frequently deal with dissatisfied or quarrelsome individuals.
Working Conditions
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Work is performed primarily in a warehouse environment where temperatures may vary.
Reporting Relationships
This position reports to the Spare Parts/Shipping and Receiving Supervisor.
Supervisory Responsibility
None.
We are an Equal Employment Opportunity (“EEO”) Employer. If you need assistance or an accommodation with completing the application, you may contact us at (248) 560-0080.
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