Title: Sr. Records Clerk Department: O - Claims

Bargaining Unit: OPEIU Local 29 Grade: 15

Position Type: Non-Exempt Hours per Week: 40

Date Open: 03/29/2024

Job Function:

Member of the Claims Team Performs support functions as assigned SLA record keeping, document procurement, Vendor Partner research coordination, data pulls, data entry, spread sheet template building, claim research and look up, packaging of responses to the client and record management.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

General Duties:

• Coordinates Vendor Partner Research for claims management. Reviews and organizes electronic records according client specifications.
• Utilizes response templates to include both word documents as well as Excel spread sheets.
• Pulls all related/requested claim information via multiple portals and Claim's operating systems.
• Consistently meets established performance standards and consistently demonstrates excellent attendance and punctuality.
• Organizes data such as member impact, provider impact, payment impacts data Performs related duties and special projects as assigned.

Minimum Qualifications:

• College degree preferred
• Minimum of one year prior claims support experience preferred
• Advanced knowledge in MS Word, & Excel (pivot tables, macros and formulas) required
• Ability to learn or current working knowledge of SQL required
• Ability to demonstrate success in report generations, and macro building required
• Ability to demonstrate success in analytics support. required
• Ability to demonstrate good written and verbal communication skills required
• Knowledge of medical and/or dental terminology preferred. ICD9 and ICD10 proficiency preferred.

Zenith American Solutions

Real People. Real Solutions. National Reach. Local Expertise.

We are currently looking for a dedicated, energetic Sr. Records Clerk with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.

We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

Rate: 22.55/hr

Internals to Apply:

If you meet the minimum qualifications and are interested in applying for the above position, please submit an application. All applications must be received by 5:00 pm on the Internal Posting Deadline listed above in order to be considered prior