Provides accurate, friendly customer service in a timely fashion.
April 03, 2023
Adheres to bank security policies and maintains confidentiality of bank records and client informationWhat we're looking for.
May 16, 2023
Evaluates and diagnoses, procedures, services, and other submitted data to determine the need for further investigation in relation to benefit requirements, accuracy of the claim filed, and the appropriateness or frequency of care rendered.
November 10, 2022
Manage assigned queues keeping up to date and current on all claims and meeting productivity criteria.
November 30, 2022
Follow all applicable Medicare and NYS regulations including HIPAA.
February 27, 2023
Maintains current knowledge of BMCHP members' benefits, policies/procedures, provider network development and contract issues, processing system issues, Massachusetts Medicaid regulations, as well as industry standards for claims adjudication.
March 07, 2023
Performs other duties as assigned within the scope of responsibilities and requirements of the job.
March 27, 2023
Demonstrated ability to effectively communicate with internal and external customers.
March 31, 2023
Determines the need for additional information or documentation from participants, employers, providers and other insurance carriers.
May 10, 2023
Reviews and analyzes data from system-generated reports for in-process claims in order to identify and resolve errors prior to final adjudication.
May 18, 2023