Must be local to Mason, OH
ACTUAL JOB TITLE: Processor
Brief Description of Work: Billing routine vision claims in insurance portals
Specific Skills/experience needed: excel skills, effective communication skills, analytical skills, experience processing insurance claims
Preferred Start Date: ASAP
Assignment Length (# weeks): 12 weeks (option to convert to Full Time Role)
Location: Mason OH
Hybrid - 3x a wee(Tuesday, Wednesday and Thurs)k; Training 100% on site.
REASON FOR REQUEST: Approved centralization of Routine Billing for Team Vision; 7 individual contributor roles approved; will use a temp to perm model to hire centralized team in Mason, OH
GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES:
* Processing - Efficiently and accurately processes standard claims or adjustments
* Consistently achieves key internals with respect to production, cycle time, and quality
* May participate on non-complex special claims projects initiatives, including network efforts
* Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
* Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team
* Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
* Proactively works with supervisor to develop self-remediation plan when standards are not being met
KNOWLEDGE & SKILLS:
* Data entry and claims processing knowledge
* Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm, Exclaim and EyeNet
* Some basic working knowledge of software programs, specifically Excel and Access
* Understands third party benefits and administration
* Strong customer service focus
* Ability to work well under pressure and multi-task
EXPERIENCE:
* 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
Job Type: Contract
Pay: $18.00 - $20.00 per hour
Expected hours: 40 per week
Schedule:
Experience:
- claims processing: 2 years (Required)
- spreadsheet: 2 years (Required)
Work Location: Hybrid remote in Mason, OH 45040