Intake Services Specialist at Zelis NA in Morristown, New Jersey

Job Description:

Position Overview:



The Intake Services Specialist efficiently handles the preparation, intake, and administrative processing of all inquiries. That includes the daily coordination of receiving all incoming inquiries (via fax, email, mail), faxing out specified response letters, responding to emails and submitting client requests.



Key Responsibilities:



• Responsible for coordination and intake of all incoming inquiries (via Fax, Mail, Email, etc.) by logging inquiry into OnBase (in-house system).


• Perform claim look up's and identify claims associated with incoming inquiries.


• Extracting multiple inquiries; separating and organizing accordingly and attaching to their appropriate claim.


• Review certain incoming inquiries based on specified criteria, either sending a template letter response out or determining the inquiry needs to be forwarded for further review to a coding analyst.


• Send correspondence to providers as needed regarding our inquiry submission process and contact information.


• Review, resolve and complete all Inquiries assigned to queues in which a review by a coding analyst is not required: (ETF, Non-Accepted, Attachment Missing, Corrected Claims, and other projects as assigned).


• Entering requests to clients as needed for additional information, following up on those requests in a timely manner and providing resolution to the claim.


• Aiding in preparation of a claim for adjustments as necessary.


• Assigned duties based on client needs.


• Performs other related responsibilities as assigned/needed.


• Maintain awareness of and ensure adherence to ZELIS standards regarding privacy.



Competencies:



• Computer proficiency and technical aptitude with the ability to utilize CMS and MS Office Applications, Adobe Application (PDF) - Extracting pages and attaching inquiry


• Works on assignments that are minimally complex in nature in which judgment and initiative are required to make recommendations or resolve problems


• Thorough knowledge of the company and departmental policies and procedures


• Knowledge of MS Outlook, MS Word, MS Excel & Internet Explorer


• Strong prioritizing & organizational skills for fast-paced department



Education:



• 1+ years healthcare and medical claims processing experience within a provider/facility's office or Payer


• Ability to manage and prioritize multiple tasks


• Ability to work under pressure and meet deadlines


• Ability to follow detailed instructions on assignments


• Must have a professional manner and respect the confidentiality of all pertinent information while performing tasks


• Must work well with others.


• Effectively communicates with others by giving and receiving feedback



Work Environment:



• Possesses detail-orientation as well as strong written and oral communication skills.


• Demonstrates self-motivation and the ability to work independently and as a team.


• Demonstrates ability to handle, balance and prioritize workload from various service units and individuals in a fast-paced environment.


• Ability to deal with problems involving a few concrete variables in standardized situations.


#LI-BG1


#LI-Hybrid


Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.



Commitment to Diversity, Equity,Inclusion, and Belonging

At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.



Equal Employment Opportunity

Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.



Accessibility Support


We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com.



SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.