Medical Claims Facilitator - Erie Insurance
MLCREEK, PA 17060
About the Job
Claims Division
Department of Position: Corporate Claims Department
Work from:
Home, within ERIE footprint
(PA, NY, OH, WV, VA, MD/DC, NC, KY, TN, IN, IL, WI)
At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. To attract and retain the best talent, we reward our team members with competitive salaries and a very generous benefits package.
Position Summary
- This is a remote position, working from home within the ERIE Footprint (PA, NY, OH, WV, VA, MD/DC, NC, KY, TN, IN, IL, WI)
- There are two (2) positions available
Under Close supervision, handles Medicare referrals from Claims Department for Section 111 Medicare Reporting
Duties and Responsibilities
Receives and Reviews Referrals from the claims department to process Medicare related duties in order to appropriately ensure files have accurate and complete data for Section 111 Medicare Reporting. Responds to related inquiries.
Receives, processes and takes appropriate action on Medicare claim-related communications and activities.
Reviews claim files on a regular basis and takes necessary follow-up and/or closing action.
Learns and maintains knowledge of Medicare Secondary Payer Actas required by Federal law.
Attends industry-related training programs to stay current on legal developments and ensure compliance with applicable laws and regulations impacting the operation of the department.
Assists with reviewing any and all Medicare related activities in regard to reporting requirements.
Substitutes for other Employees as required.
Handles clerical duties as needed to support field claim handlers.
The first three duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.
This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident
Competencies
Values Diversity
Nimble Learning
Self-Development
Collaborates
Customer Focus
Cultivates Innovation
Instills Trust
Optimizes Work Processes
Ensures Accountability
Decision Quality
Qualifications
High school diploma or GED required. Two years of prior claims clerical experience preferred. Basic understanding of medical terminology preferred. Pursuit of general insurance education preferred.
Physical Requirements
Lifting 0-20 lbs; Occasional (
Lifting 20-50 lbs; Occasional (
Lifting Over 50 lbs; Occasional (
Driving; Rarely
Pushing/Pulling; Occasional (
Manual Keying/Data Entry; Often (20-50%)
Climbing; Rarely