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ASO Claims Associate, Claims Examiner

Company: MVP Health Care, Inc.
Location: Schenectady
Posted on: May 16, 2022

Job Description:

ASO Claims Associate, Claims Examiner Headquarters Office, 625 State Street, Schenectady, New York, United States of America

  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America Req #1070 Friday, March 4, 2022 Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP! Full-Time, Non-exempt Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess Systems. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. Reviews and ensures the accuracy of all changes to claim line information based on information received from other departments and in accord with available benefit information. Is responsible for the timely and accurate adjudication of claims that are suspended to other MVP departments for benefit and/or authorization determination. Meets or exceeds department quality and work management standards for claims adjudication. Successfully completes a course of comprehensive formal training in all areas of benefits determination, system navigation, and MVP policy. Suspends, investigates and resolves claim issues by coordinating with appropriate departments, based on criteria set by those departments. Handles inquiries regarding suspended claims from other departments and identifies trends in suspensions based on these inquiries and other feedback. Reports same to Claims Operations Leader. Keeps abreast of all benefit changes. Provides ongoing feedback to the senior or Claims Operations Leader to ensure all appropriate personnel are kept informed. Performs other duties as assigned.POSITION QUALIFICATIONSMinimum Education: High School Diploma required. Associates in Health, Business, or related field preferred. Minimum Experience: Previous related health care experience required. Health insurance experience preferred. Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred.Required Skills:
  • Strong communication skills
  • Organizational skills and attention to detail;
  • Strong PC skills required, Microsoft Windows experience highly desired About MVPMVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com Please apply and learn more - including how you may become a proud member of our team.

Keywords: MVP Health Care, Inc., Schenectady , ASO Claims Associate, Claims Examiner, Other , Schenectady, New York

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