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Claim processor

LanceSoft Inc Lexington, KY
  • Expired: 14 days ago. Applications are no longer accepted.
Responsible for validating the data that has been submitted by the participant. This is done by reviewing the substantiation, with the knowledge that is received during training, select data elements are then entered into the system. Based on the data entered into the system, the claim will approve or deny.

Training There is a 4 to 6 weeks training to ensure the rules are fully understood. Before anyone is release from training, they must pass the audit of 90% out of the last 100 claims processed. The training is done one claim type at a time, you must graduate from the first claim type to move to the next. There is only two-week time frame to get out of the audit, to move to the claim type, the expectation is 90% of the last 100 claims processed.

Quality Each processor is responsible for their own quality, and must achieve 94% financial, and 92% document quality.

Productivity Once out of training the expected productive is 56 claims per hour.

Shift Time Monday Friday, 8 am to clean desk the end times will vary depending on the number of claims received, the normal time is 5 pm however this may change depending on volume. Depending on the volume overtime may be required from time to time. This may include some Saturdays.

Job Requirements
Education - high school diploma or GED or higher
Typing skills 5,000 key strokes or higher
Computer knowledge basic skills require
Medical Coding knowledge would be beneficial

LanceSoft Inc

Address

Lexington, KY
40511 USA