Claims Support Representative

Denver, CO
United States

Experience Required
Employment Type
Work Schedule

Job Description

Job Description:

  • Assists internal and external customers with the support of electronic data interchange (EDI) for the processing of Colorado Medicaid Claims.

  • Utilizes a variety of internal and external online systems governing the transfer process of files used for Medicaid claims payment processing.

  • Participates productively as a member of a team.

  • Completes tasks beyond general support level.

  • Accepts instruction and direction from leadership. Ability to manage tasks and assignments without detailed direction.

  • Identifies, prioritizes and resolves some issues independently, and escalates more complex questions or issues appropriately.

  • Complies with contract requirements, business unit rules and related and legal regulations.

Education and Experience:

  • High School Diploma or equivalent; may hold 2 year post-high school Degree; may hold Bachelor’s degree.

  • Typically, 1-2 years of working experience in related fields.

Knowledge and Skills:

  • Prior office or clerical experience.

  • Ability to follow written policies and procedures.

  • Ability to access and retrieve information using a PC and basic understanding of Microsoft Office products.

  • Ability to follow procedural guidelines

  • Ability to work on assignments with limited instructions from leadership.

  • Good written and verbal communication skills, including professional telephone skills.

  • Any type helpdesk or low to mid entry level technical background will be an asset.

  • Working with any type of EDI/PC file transfer experience is good with an ability to follow direction, policy or procedure.