Mindlance · 1 day ago
Document Service Representative 1
Albany, NY
Full-time
Onsite
New Grad, Entry Level
0+ years expMindlance is a company seeking a Document Service Representative who will be responsible for processing incoming mail and handling claims and correspondence documents. The role involves ensuring compliance with New York State regulations and collaborating with various departments to resolve issues related to claims examining and data entry.
Human Resources
Responsibilities
Examine, data enter and re-write all physician, hospital, dental, and pharmacy claims utilizing established policies and procedures as well as medical claims coding guidelines
Perform accurate FormWorks OCR error correction, Key from Image, and Key Entry on all medical, hospital, dental, and vision claims in accordance with departmental desk levels
Perform accurate FormWorks data entry on correspondence documents in accordance with departmental desk levels to ensure work items are filed appropriately in Macess and work items are routed to the correct doc flo queue for handling by each business area
Report any scanning, data entry, or workflow issues to the Team Lead, Document Management and/or a member of management as appropriate
Work mandatory overtime when deemed necessary to meet TAT service level metrics
Report any obvious provider billing problems observed
Provide value-added feedback regarding established desk levels and train newly hired staff when required
Maintain the production and accuracy ratio as established by the department
Re-direct claims and correspondence to the appropriate resource/department as needed in accordance with established Desk Levels
Research and contact appropriate resources as warranted for information necessary for the completion of examining and/or data entry utilizing the corporate documentation system
Initiate and assist in the development of process improvements necessary to resolve claims examining and data entry issues and system limitations
Perform all scanning room functions, this includes but is not limited to sorting, prepping, and scanning of all claims and correspondence documents into FormWorks in accordance with established desk levels
Archive all incoming claim and correspondence documents in accordance with established Desk Levels
Complete the daily rejection report, including retrieval of archived claim and correspondence documents, within established time frames
Verify scanned documents for completeness
Report any system, filing, scanning, or workflow issues to the Team Lead, Document Management, and/or a member of management as appropriate
Perform general scanner maintenance as needed
Identify and report deviations in provider practice and billing to the Team Lead, Document Management
Complete required department documents in an accurate and timely fashion as outlined in established procedures
The employee agrees to comply with companyâs Corporate Compliance Policy, and all laws, rules, regulations and standards of conduct relating to the Corporate Compliance Policy and has a duty and obligation to report any suspected violations of any law, the standards of conduct or Corporate Compliance Policy to his or her immediate Supervisor, the fraud and abuse hotline, the Compliance Officer, the Compliance Director, Human Capital Management or the Chief Executive Officer
Performs other duties as assigned
Qualification
Required
High school diploma or GED required
Six (6) months alphanumeric data entry experience in a healthcare setting is required
Demonstrated ability to determine, analyze, and solve problems related to claims examining, correspondence and data entry
Ability to successfully apply problem solving and time management methodology and balance multiple tasks as business needs arise
Ability to apply specialty claims handling and data entry Desk Levels with adherence to department turnaround time frames to ensure regulatory compliance
Demonstrated ability to effectively communicate on both a verbal and written basis. Must utilize appropriate grammar, spelling, punctuation, and sentence structure in all written communications
Strong attention to detail and ability to meet established quality and production standards while maintaining department turnaround time frames
Ability to work independently with minimal supervision is required
Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer
Ability to travel across the Health Plan service region for meetings and/or trainings as needed
Preferred
Associates degree or two (2) years of equivalent experience required
Bachelorâs degree or four (4) years of equivalent experience required
Advanced degree preferred
Minimum of (1) year claims examining procedural review experience utilizing CPT-4, HCPCS, and ICD-9 codes is highly preferred
Experience with review, interpretation and scanning of correspondence from multiple sources is highly preferred
Experience or working knowledge with an on-line data entry system, especially Macess EXP and FormWorks, Web key is highly preferred
A minimum of one year office experience with strong PC skills and Microsoft Windows is preferred
Company
Mindlance
Mindlance is a Staffing and Recruiting company which provides multi-vertical staffing services
1001-5000 employees
H1B Sponsorship
Mindlance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (53)
2023 (37)
2022 (72)
2021 (36)
2020 (40)
Funding
Current Stage
Late StageLeadership Team
R
Rajat Paul Dhall
Co-Founder & Managing Director
V
Vik Kalra
Co-Founder and Managing Director
Recent News
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