Onsite Claims Team Lead

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    "requisitionDescription": "<div><div><div><div><div><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.6.28/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.6.28/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><div><div><div><p><strong>SUMMARY:</strong> The Claims Team Lead is responsible for the reconciliation of the provider&rsquo;s reimbursement request forms. In addition, he/she will be responsible for maintaining all departmental filing and other duties that may be assigned.</p><p><strong>ESSENTIAL FUNCTIONS</strong></p><ul><li>Correlate the reimbursement request forms and resubmissions by provider per day in chronological order.</li><li>Approvals and denial for reimbursement and resubmissions.</li><li>Data entry.</li><li>Responsible for generating and distributing copies of denied reimbursement requests to providers.</li><li>Filing all reimbursement forms.</li><li>Assisting with special rates from the call center.</li><li>Relays instructions, messages and other information as requested from the management team.</li><li>Maintains a current working knowledge of all company policies, procedures, rules, regulations and memorandums.</li><li>Responsible and accountable for updating management on changes and/or extraordinary circumstances affecting the company and/or transportation provider.</li><li>Other duties as assigned by the management team.</li></ul><p><strong>REQUIRED SKILLS AND ABILITIES</strong></p><ul type=\"disc\"><li>Excellent communication skills oral and written.</li><li>Able to work in a busy environment.</li><li>Able to function effectively in stressful situations.</li><li>Knowledge of reconciliation and customer service policies and procedures.</li><li>Knowledge of Medicaid Non-Emergency Transports preferred.</li><li>Able to handle multiple tasks simultaneously.</li><li>Beginner skills in Mircosoft Excel knowledge.</li><li>Computer experience.</li><li>Following training, able to adequately implement concepts of Route Logic.</li><li>Able to lift and/or move items up to 25 pounds.</li><li>Must be able to key 8000+ keystrokes.</li></ul><p><strong>QUALIFICATION</strong></p><ul type=\"disc\"><li>High School diploma.</li></ul><p>IND</p></div></div></div></div></div></div></div></div></div></div></div>\n",
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