Job Description

Job Title: Verification Processor
Job ID: 21767851
Status: Full-Time
Regular/Temporary: Regular
Hours: 8:00 AM- 4:30 PM
Shift: Day Job
Facility:
Department: Central Pre-Registration
Location: 1200 Camp Hill Bypass, Camp Hill PA 17011

Description

Our team is growing and we have a variety of opportunities available for Verification Processor. If you’re passionate about patient care and looking for a career that offers great benefits and plenty of room for growth, we invite you to explore this opportunity today!


Responsibilities:
  • Update data into the Amisys system accurately and efficiently.
  • 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.
  • Investigate via Filenet software or EDI (Electronic Data Interchange) Inquiry Screen(s) any flagged claims.
  • Claim hold/Batch error correction
  • Search continuously for improvement opportunities and notifies the supervisor and/or team leader of trends.
  • Maintain a thorough working knowledge of processes for electronically received data;

Qualifications

  • Completion of High school diploma or equivalent.
  • Able to use a QWERTY keyboard;Knowledge of Insurance, Managed Care, or Benefits Administration environment preferred;
  • Prefer competency in MS Office and PC skills.Able to demonstrate organizational, interpersonal, and communication skills.
  • Maintain designated production and quality standards required.Previous mailroom experience is preferred.

Licensure, Certifications, and Clearances:
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $13.57 to $21.39 / hour

    Union Position: No

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    UPMC VALUES

    At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

    QUALITY & SAFETY
    DIGNITY & RESPECT
    CARING & LISTENING
    RESPONSIBILITY & INTEGRITY
    EXCELLENCE & INNOVATION

    UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


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