Claims Support Representative
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.