Overview
Administrative Assistant Jobs in Palm Coast, FL at Atlantic Pipe Services
** Dallas area local residents only. This is not a remote position.
Department: Outside Medical Networks
Job Status: Full Time
FLSA Status: Non-Exempt
Reports To: Director, Outside Medical Networks
Grade/Level:
Amount of Travel Required: 0%
Work Schedule:
Positions Supervised: None
Hours will be 8:00am to 5:00pm
Some overtime may be required.
POSITION SUMMARY
Primary responsibilities of the Data Entry Clerk is to support our account managers and provider network teams to collect claims information and other data from clients and providers and enter information into the appropriate format needed for claims processing. This includes correctly interpreting the information received and following up with clients and providers as needed to confirm or correct information submitted.
ESSENTIAL FUNCTIONS
Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Some of these job duties may be specific to individuals and may not be required at all or any time. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Essential Functions Statement(s)
Call providers when invoices are received to have them submit patient specific claims.
Scan claims to Lucent for processing.
Transcribe Eligibility files from PDF to Excel format so that they can be uploaded to Lucent.
Manually check eligibility of members on client websites and document date range of eligibility.
Validate that 100% of scanned claims make it on to Paid Claim file and work through any exceptions.
Follow up with clients to obtain information including claims, eligibility files, authorization file, or other information as needed.
Perform other job-related duties as assigned.
PREFERRED SKILLS & ABILITIES
Education: High School Degree required.
Experience: One to three years related experience in a medical or customer service center environment preferred.
Computer Skills: Microsoft Office Suite: Word, Excel, PowerPoint; Microsoft Outlook
Certificates & Licenses:
Preferred Skills: Ability to fluently speak, read, and write in English. A thorough, dependable, detail-oriented approach to work with excellent communication skills. Ideal candidate must possess attentive listening skills, critical thinking skills, and the ability to provide a high level of customer service experience. Knowledge of medical claims processing services preferred. Demonstrated ability to work with a team of colleagues who represent a diversity of work and conflict resolution styles.
PHYSICAL DEMANDS
Physical Demands
Lift/Carry
Stand
O (Occasionally)
Walk
O (Occasionally)
Sit
C (Constantly)
Handling / Fingering
F (Frequently)
Reach Outward
F (Frequently)
Reach Above Shoulder
O (Occasionally)
Climb
N (Not Applicable)
Crawl
N (Not Applicable)
Squat or Kneel
N (Not Applicable)
Bend
O (Occasionally)
10 lbs or less
O (Occasionally)
11-20 lbs
O (Occasionally)
21-50 lbs
N (Not Applicable)
51-100 lbs
N (Not Applicable)
Over 100 lbs
N (Not Applicable)
Push/Pull
12 lbs or less
O (Occasionally)
13-25 lbs
O (Occasionally)
26-40 lbs
N (Not Applicable)
41-100 lbs
N (Not Applicable)
N (Not Applicable)
Activity is not applicable to this occupation.
O (Occasionally)
Occupation requires this activity up to 33% of the time (0 – 2.5+ hrs/day)
F (Frequently)
Occupation requires this activity from 33% – 66% of the time (2.5 – 5.5+ hrs/day)
C (Constantly)
Occupation requires this activity more than 66% of the time (5.5+ hrs/day)
Other Physical Requirements: Speak, Hearing, Vision
WORK ENVIRONMENT
General office environment. Work is generally sedentary in nature but may require standing and walking for up to 10% of the time. The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc. Work is generally performed within an office environment, with standard office equipment available.
Heritage Health Solutions, Inc. is a equal opportunity employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, disability or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
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Title: Administrative Assistant
Company: Atlantic Pipe Services
Location: Palm Coast, FL
