Claims Intake Processor I

SKYGEN

Posted 3 months ago

Full Time

,

Fully Remote

Smart Summary

Responsibilities

Accurately input data from insurance claims and authorization requests into the database system. Maintain proficiency in data entry guidelines and collaborate with team members to meet client turnaround times.

Qualifications

You have a high school diploma or equivalent and possess strong data entry skills with a high degree of accuracy and excellent attention to detail. You are able to perform repetitive tasks efficiently and navigate through various software systems, preferably with experience in medical or dental claim submissions.

Must Have Skills for ATS

data entry

typing

Job Description

Important things YOU should know: 

  • Fully Remote Opportunity
  • Schedule: Mon - Fri  8:00am – 4:30pm CST
  • Occasional weekend coverage required due to business needs  
  • Potential for Flex Schedule
  • Exceptional Professional Growth

What will YOU be doing for us? You will have the opportunity to accurately and efficiently input data from insurance claim and/or authorization requests submitted by health care providers or members into data base system. 

What is in it for YOU?

  • Career growth in an inclusive culture
  • Paid training
  • Health benefits
  • 401 (k)

What will YOU be working on?  

  • Enter data from insurance claim, authorization or member reimbursement requests expediently and efficiently to meet client turnaround times.
  • Log unclean submissions so rejection letters are generated back to the servicing provider and a record is retained within the system. 
  • Ability to perform repetitive tasks with a high degree of accuracy. 
  • Navigate efficiently and effectively through the imaging software to retrieve claims and authorizations for data entry.
  • Maintain proficiency with data entry guidelines and unique client requirements.
  • Accurately identify specific document types that require special handling.
  • Work collaboratively with other team members to ensure that work is completed in accordance to designated turnaround times.
  • Support additional workflows as needed due to internal or external requirements.

Additional Responsibilities:

  • Alert management of potential issues upon identification of discrepancies. 
  • Provide recommendations on process improvements to increase efficiencies as appropriate.
  • Utilize resources available to maintain current knowledge and understanding of client processing rules. 

What qualifications do YOU need to have to be a GREAT candidate?  

Required Level of Education, Licenses, and/or Certificates

  • High school diploma or equivalent

Required Knowledge, Skills, and Abilities

  • Successfully complete a pre-employment online alphanumeric data entry assessment
  • Strong data entry/typing skills
  • Excellent attention to detail
  • High degree of accuracy

Preferred Level of Experience

  • 1+ year experience in data entry or transcribing services.  Preferably related to medical or dental claim submissions.
  • 1+ year of successful experience working in a remote environment. 

SKYGEN

SKYGEN transforms dental and vision benefits management and administration with flexible technology and services that connect and change lives for the better. Through partnerships with payers, providers and government agencies, SKYGEN helps its customers navigate dental and vision benefits management and administration. With its portfolio of third-party administration (TPA), intelligent Software as a Service (SaaS) automation, marketplace connectivity, risk management solutions and above-and-beyond services like Enhanced Benefit Management (EBM), Provider Select Suite platforms, mobile apps and portals, SKYGEN serves nearly 50 million members across all 50 states, more than 40 government and commercial insurers and process 3 million claims monthly. For more information, please visit www.skygenusa.com. We're looking for innovative individuals to join our team! Learn more about SKYGEN, our culture, and how we can power your career today. We offer exceptional professional growth opportunities; a healthy work-life balance; and competitive salary and benefits. Positions are posted at: https://www.skygenusa.com/about/careers
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