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)
As a member of the UBI team, this position receives and enters current data into the bank's mainframe computer system according to established policy and procedures. Prepares a wide variety of computer generated reports. Answers questions and assists other departments and branch banks with computer related functions. Sells and promotes all bank services in such a way as to enhance the bank's image within the community.
EDUCATION/TRAINING/EXPERIENCE:
High school diploma or general education degree (GED) and 2 - 4 years related experience and/or training; or equivalent combination of education, training, and experience.
LANGUAGE SKILLS:
Strong reading, writing and verbal skills to effectively present information and respond to questions from other departments and branch banks.
MATHEMATICAL SKILLS:
Count, add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.
REASONING ABILITY:
Comprehend and understand bank operations, policies (manuals), and procedures.
Recognize and reconcile problems following established guidelines.
Independent judgment to recognize and maintain confidential information.
Understand and carry out written and oral instructions.
OTHER SKILLS:
Interpersonal skills to deal effectively with co-workers, superiors, and other department heads.
Good mainframe computer skills to enter data, generate reports, and maintain a variety of computer files.
Exceptionally detail-oriented to ensure accuracy.
Computer skills in word processing, spreadsheet and database software to generate correspondence and reports.
SCHEDULE:
Monday - Friday: 8:00am - 5:00pm
*MUST HAVE SATISFACTORY BACKGROUND CHECK INCLUDING CREDIT HISTORY*
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