• UPMC
  • $66,930.00 -112,010.00/year*
  • Pittsburgh , PA
  • Financial Services - Banking/Investment/Finance
  • Full-Time
  • 4870 Forbes Ave


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Description

UPMC Health Plan is seeking a full-time Verification Processor to support the Claim Intake Verification - Mail Services Department at the US Steel Tower!

The Verification Processor provides for ensuring accuracy of electronically transmitted data for the purpose of releasing batch claims held for review.

The ideal candidate will have strong keying/typing skills, preferably 50 words per minute, and be able to work independently with an exceptional attention to detail. This position consists of primarily computer, keying, and data entry work, so the Verification Processor must be comfortable with completing these duties throughout the majority of their work day.

Responsibilities:

  • Update data into the Amisys system accurately and efficiently.

  • Search continuously for improvement opportunities and notifies the supervisor and/or team leader of trends.

  • Verify and correct, as necessary, claims received through the FormWorks process to include, but not be limited to - Individual characters and fields in OCRepair and OCRepCrit, Information contained in KE (Key Entry).

  • Complete UB's and HCFA's in FormWorks for claims unable to process directly via OCR (KFI/Key From Image).

  • Notify the supervisor and/or team leader of any issues that my compromise client satisfaction.

  • Verify electronically received data pre-adjudication.

  • Maintain a thorough working knowledge of processes for electronically received data.

  • Investigate via Filenet software or EDI (Electronic Data Interchange) Inquiry Screen(s) any flagged claims.

  • Claim hold/Batch error correction

Qualifications

  • Completion of High school diploma or equivalent.

  • Able to use a QWERTY keyboard.

  • Ability to type approximately 50 words per minute preferred.

  • Knowledge of Insurance, Managed Care, or Benefits Administration environment preferred.

  • Prefer competency in MS Office and PC skills.

  • Ability to demonstrate organizational, interpersonal, and communication skills.

  • Maintain designated production and quality standards required.

  • Previous mailroom experience is preferred.

  • Previous data entry experience preferred. Licensure, Certifications, and Clearances:UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

REQNUMBER: 28224151


Associated topics: collections officer, credit, file, loan, loan closer, mortgage, mortgage interviewer, mortgage process, mortgage processor, verification

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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