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Current Job Openings

UM Physicians Claims Review Assistant

 

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Submission Deadline:

Department: Health Services

Position Summary:
Candidate is responsible for assisting the UM - PCR staff and programs. Assists with answering the phone queue line. Maintains appropriate filing system. Prepares mailings to be distributed to members. Retrieves medical documentation from files when necessary. Prepares files to be batch scanned regularly. Maintains appropriate records of daily mail and fax counts. May contact providers offices and/or members to gather insufficient information on submitted requests. Performs miscellaneous tracking, updating, and eligibility verification. Responsible for retrieving, sorting and distribution of all mail and faxes assigned to the Unit. Performs copying for all UM - PCR staff. Performs other duties as assigned by the UM Supervisor or Director. Supports the unit by answering and triaging incoming phone calls from members. Performs other duties as may be assigned.

Requirements:

  • High school graduate or equivalent required. AAS degree in medical-related field Preferred.Previous experience in usage of medical terminology and/or applicable in-house experience.
  • Experience in an insurance or health care environment preferred. Medical terminology (education or experience) required. Strong clerical background with basic computer/keyboarding skills. Ability to maintain strict adherence to confidentiality.
Location: Schenectady Office, 625 State Street, Schenectady, NY 12305

Status: Full Time

Type: Non-exempt

In order to be considered for this position, please apply online. Questions? Please Contact:

MVP Health Care
Human Resources
E-mail : hr@mvphealthcare.com