You are responsible for organising efficiently and processing correctly the flow of incoming and outgoing documents (paper and electronic): letters, faxes, claims, payment letters, etc.
Some of your tasks include:
Receiving and documenting claims
Sorting, processing and vetting of claims first hand for claims payment
File management and classification of data
Electronic transfer of received claims to the various platforms
Triaging the flow between members and provider claims
Processing member and provider claims within stipulated TAT’s
Managing the different channels through which claims are received
Cross referencing of emails received from members and providers for further processing
