You are primarily responsible for data entry of information included in standard medical claim forms (HCFA, UB04) and office fee tickets into various databases. This position supports the Claims department by consistently meeting quality and production goals in the processing of information. Primary Responsibilities:
Accurately inputs claim batches and keys all pertinent information from claims documentation, (including all fields from HCFA and UB04 forms) and office fee tickets (including ICD9 codes and CPT coding).
Verifies HMO insurance and member eligibility on claims prior to data entry.
Documents all claims production via the system that tracks individual examiner production.
Inputs accurate batch accounts, invoice numbers and status codes to ensure accurate entry into the claims processing system so that accurate reports can be generated.
Meets and maintains quality and production goals related, but not limited to, phone calls, overpayments, unsolicited checks, appeals, TDI complaints and processing.
Coordinates with the Claims Manager and/or Claims Supervisor on workflow issues and the handling of batches in date order.
Performs all other related duties as assigned.
UnitedHealth Group - 2 years ago
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