Job description
PURPOSE OF POSITION:
The primary purpose of the Imaging and Claims Assistant is to assist various departments within the Managed Care Organization. This involves assuring that lines of communication remain open. The Imaging and Claims Assistant will communicate with the entire staff in regards to medical documentation received and scanned on a regular basis.
MAJOR TASKS, DUTIES, AND RESPONSIBILITIES:
- Responsible for imaging/scanning policy/procedure for all incoming/outgoing administrative and/or medical documentation and bills.
- Responsible to review claims management system to ensure medical documentation is appropriate to scan and index.
- Verifies claim and/or employer are assigned to AultComp MCO.
- Assures incoming faxes are date stamped properly & distributed according to policy.
- Assist in answering incoming calls and routing to appropriate staff member when needed.
- Retrieves after hour's voicemail from the AultComp MCO general mailbox and forwards messages to appropriate staff member when necessary.
- Responsible to be flexible and assume workload coverage for specific staff members due to vacation, absence or time away from work.
The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent to this position.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, or protected veteran status. AultCare is an EEO/AA Employer M/F/Disability/Vet.
WORKING CONDITIONS:
- Normally works eight hours per day.
- Lunch periods and breaks are flexible to meet the needs of the position and department.
- Works in well lighted/ventilated office.
- Sitting/standing/moving intermittently during working hours.
- Subject to frequent interruptions during performance of duties.
- Expected to adhere to policies and procedures.
QUALIFICATIONS:
- Education: High School diploma; previous experience in scanning/indexing and/or data entry a plus.
- Remains current in educational areas related to job description.
- Organized self-starter with focused goals and deadlines.
- Demonstrates ability to utilize several informational systems and the willingness to try new software and programs.
PHYSICAL REQUIREMENTS ADDENDUM:
Specific job requirements and work environment factors that could affect job performance.
O = Occasionally = 0 - 33% of the work shift or 0 - 32 repetitions.
F = Frequently = 34 - 66% of the work shift or 32 - 200+ repetitions.
C = Constantly = 67 - 100% of the work shift or 200+ repetitions.
N = Not Present = Not essential job requirement.
O Standing
F Walking
O Lifting (wt 20# )
O Carrying (wt 20# )
O Pushing (wt 20# )
N Climbing (wt________)
O Stooping/Bending
O Twisting/Turning
O Kneeling/Squatting
N Crawling
F Reaching Up/Reaching Forward
Majority of the time is spent working with data entry and system coordination.
Location: Aultman Health Foundation ยท MCO - ADMINISTRATIVE EXP
Schedule: Full Time, Day Shift, Varies
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