About This Role
Managing incoming mail from providers with a high level of accuracy is the core of this role. The Mailroom Clerk will triage and process mail in a timely manner, requiring the ability to multitask effectively.
Responsibilities
- Open, triage, and batch incoming mail and faxes
- Open claim related mail (manually and through use of automated letter opener) and organize by claim type (CMS-1500, UB-04, and variants)
- Sort all daily incoming mail for distribution to designated individuals or department
- Utilize EZ CAP claim processing system to research provider and member status
- Data entry of manual claims into EZ CAP claims system
- Daily logging and counting of mail
- Batch claims according to policy and ready claims for daily pick-up by scanning vendor
- Process daily pend, denial and claim forwarding correspondence
- Provide requested documentation to internal departments and provider network (EOB, faxes, scanning, requests for letter copies)
- Support research projects through claims look-up and simple documentation via Excel spreadsheets
- As requested, sort, log and distribute certified mail
- As requested, scan and log registered mail and next day mail (USPS, UPS, FedEX) for reference and tracking purposes
- Provide support to eClaims for daily reject letter processing when available
- Adhere to payroll policies and properly use timekeeping system with minimal manual changes
- Maintain regular and consistent attendance
- Adhere to Compliance Plan and HIPAA regulations
- Take on special projects as needed
- Perform other duties as assigned
Requirements
- High school graduate or equivalent
- 1 year of mail room/clerical experience in a healthcare setting
- Data entry skills
- Willingness and ability to read, write, speak, and understand English and have the communication skills necessary to provide accurate information to residents and staff
- Willingness and ability to follow written and verbal direction in English
- Willingness and ability to maintain appropriate level of confidentiality and privacy
- Willingness and ability to interact professionally with all customers, members, and co-workers, individually and as part of a team
- Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities
- Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand
- Ability to effectively prioritize items/tasks as required
