Job Summary
This position provides administrative support all areas within Operations. Using independent judgment to organize and complete all support duties described below.
Essential Functions & Responsibilities
Handle incoming work within establishedtime frames,e.g.additionalinformation calls within 2 business days
Finalize checkresearcheswithin 2 business days, file fee updates within 5 days of receipt
Meet or exceed production standards for all job functions
Research fax number information onadditionalinformation letters, including calls to dentists
Maintain and resolve checkresearchesforCustomerService department by completingappropriate formsand memos and delivering completed work to the Accounting Department and/or re-mailing. Indexes checks once scanned into our Checks Cabinet and confirms all have been received onceovernightedfrom DDAR.
Coordinate withAccountingDepartment on financial informationregardingchecks.
Researchesandpreparesinformation for Corporate Review audits.
Processes provider feeson line.
Retrieves andindexes via our Document ManagementSystemall incoming facsimile information. Opens, stamps, sorts anddrags and dropsall incoming mail/routed claims for the Customer Service departmentinto our Document Management System.
Indexes alldocuments in our Customer Service cabinet to ensure proper routing for the Customer Service Department.
Responsible for daily delivery of reports, photocopies anddistributesany listings, memos, correspondence, etc. as requested by other departments.
Handles incoming and outgoing Flagship mailreceived at our street address, electronicallyor in the Flagship Cabinet, printing, preparing documents for scanning andmaintainingcounts.
Handles post office returns (EOB'sand Fast Forward reports)
Assists the supervisor when necessary
Other duties as assigned Essential Qualifications
Competencies
Adaptability-Flexibility
Communication Skills
Computer Skills
Customer Focus
Dependabil
Job Knowledge
Productivity
Quality
Teamwork
Knowledge, Skills & Abilities
KPI's
Consistently meet or exceed quality goal of 99% or better Technical and Functional
Possess good organizational skills
Must have good research and analytical skills
Ability to meet KPI's:
Filed Fees 429/hour
Encounter Claim Forms 50/hour
Fast forwards (address changes) 60/hour
Additionals11/hour
Possess the ability to use Microsoft Word and Excel
Good written and oral communication skills
Ability to research and troubleshoot problems
Demonstrate good proofreading skills
Attention to detail Required Physical Abilities
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to sit and perform extensive close keyboard and PC work
Ability to walk, talk, or hear
Occasionally required to stand and reach with hands and arms Working Environment
Ability to meet deadlines and attendance standards.
The noise level in the work environment is usually moderate.
This classification will be required to sign a confidentiality agreement. Experience, Education and Certifications Required
Experience Required
One year clerical/administrative experience, preferably in an insurance environment Required Educational Level
Requires a high school diploma or equivalent. Other Certification
n/a