1,802 Senior Processor jobs in the United States

Responsibilities
• Collect, review, verify, and enter data into Safety's databases using outside data sources and custom applications
• Collaborate with Safety Data and Analytics team members and other Safety Division staff to ensure the quality and consistency of data entries
• Create and maintain Safety Data dashboards using Tableau
• ccess, review, and collect data from outside sources using Tableau
• Create and maintain Safety Data reports for internal and external stakeholders
• Create reports and/or presentations on safety data trends, patterns, and areas of interest
• Perform data analysis to visualize, monitor, and evaluate MBTA's safety performance
• Document data collection, management, and analysis activities in the form of Standard Operating Procedures, work instructions, and job aides
• Participate in trainings and develop training materials on Safety's data management system, data processes, and similar programs to members of the Safety division and other MBTA departments as necessary

Skills
• Knowledge of advanced statistical or quantitative data analysis techniques
• Experience in data collection, analysis, and trending
• dvanced level skills in Excel to perform data collection, analysis, trending, and reporting functions. Proficiency using Microsoft Word, PowerPoint, Access, and Project Manager

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."

Job Description

• Claims Review and Verification:
  • Review legal claims submitted by clients.
  • Verify the accuracy and completeness of claims data, including relevant documentation.
  • Ensure compliance with legal and regulatory requirements.

• Data Entry and Documentation:
  • Enter claims information into the computer system accurately and efficiently.
  • Maintain detailed records of processed claims, including notes on any discrepancies or follow-up actions.
  • Document claim outcomes and decisions

• Data Verification and Preparation:

• Receive incoming data files from various channels.
• Verify the accuracy and completeness of data according to established procedures.
• Correct any errors or inconsistencies in the data.

• Document Creation and Formatting:
  • Create, edit, and format legal documents according to firm specifications using various software applications.
  • Convert, clean, and format documents to/from different file formats.
  • Collaborate with attorneys and paralegals to ensure accurate document content.

• Redaction:
  • Redact confidential or sensitive information from legal documents.
  • Ensure compliance with privacy regulations and client confidentiality requirements.
  • • Maintain a high level of attention to detail during the redaction process.
  • Quality Assurance:
    • Ensure that claims are processed accurately and swiftly.
    • Handle complex cases with attention to detail.
    • Contribute to the efficiency of claims management.

Job Overview:

Mail & Data Processor position handling incoming and outgoing mail in an organized fashion. Prepares and scans checks for bank deposits. Prepares and uploads charges provided by various physician offices. Edmond, OK office with possibility for hybrid remote.

Primary Responsibilities:

• Open and sort incoming mail.
• Scan insurance payment and denial batches. 
• Process patient payments for client accounts.
• Scan checks for bank depositing.
• Run tapes on checks for balancing purposes.
• Sort correspondence for necessary processing.
• Process and input payment transmittal sheets on the computer for client accounts.
• Maintain Excel spreadsheets with daily batches.
• Process outgoing mail including checks for patient and insurance refunds 

Required Skills:

• 10-key by touch and alpha numeric skill proficiency
• Must have knowledge of computer programs and operations (Word, Excel, Outlook)
• Flexibility to adapt to the changing workload requirements
• Effective organizational skills and detail oriented
• Ability to work well in a fast pace, production-oriented environment to meet required deadlines

Required Skills:

• 10-key by touch and alpha numeric skill proficiency
• Must have knowledge of computer programs and operations (Word, Excel, Outlook)
• Flexibility to adapt to the changing workload requirements
• Effective organizational skills and detail oriented
• Ability to work well in a fast pace, production-oriented environment to meet required deadlines

*Only successful candidates will be contacted*.

Harris is an Equal Opportunity Employer and members of the following targeted groups are encouraged to apply women, persons with disabilities, aboriginal peoples and visible minorities. If you are a person with a disability, assistance with the screening and selection process is available on request.

The Harris Talent Acquisition team does not use text messages to contact candidates or solicit confidential information. We encourage all candidates to apply for advertised positions. They will be contacted either by a Harris manager or by a member of the Talent Acquisition team for an interview, once the required criteria have been met.

Job Description

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims.

Northwood plays an integral role in health plan benefit administration for durable medical equipment, prosthetics, orthotics and medical supplies.

Northwood also serves auto and workers compensation clients and their PIP claimants.

Northwood plays an integral role in health plan benefit administration for durable medical equipment, prosthetics, orthotics and medical supplies.

Northwood also serves auto and workers compensation clients and their PIP claimants.

Bargaining Unit: UFCW 555 Grade: 3

Position Type: Non-exempt Hours per Week: 40

Position Summary

The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities

• Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims.
• Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability.
• May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries.
• Performs other duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Six months of experience processing health and welfare claims.
• Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.
• Possesses a strong work ethic and team player mentality.
• Highly developed sense of integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
• Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
• Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion
• Computer proficiency including Microsoft Office tools and applications.

• Experience working in a third-party administrator.

Zenith American Solutions

Real People. Real Solutions. National Reach. Local Expertise.

We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.

We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!