Tag Archives: Medical Office Specialist

Claims Examiner

Review and finalize claims referred from Data Capture for OPL, Medical review, BGT/coverage, payment level, case management.
On a daily basis work all system generated reports to ensure accurate claims control.
Meet departmental, contractual, and national performance goals.
Maintain required production and accuracy standards.
Be able to finalize claims for Cross, Shield, Major Medical, and Drug lines of business.
By completion of training period be able to adjust claims for Cross, Shield, Major Medical and Drug lines of business for processor related errors
Identify and document system and procedural problems; provide suggestions for resolution.
Must be a team player.
Must comply with corporate compliance program.
Must be able to maintain confidentiality.
Requires constant and intense concentration to complete complex job functions. Work is confining and requires keying at PC up to 80% of the day.

Number of openings:

3

Compensation:

14.18 per hour

How to Apply:

Apply online at www.bcbsks.com/careers.

Apply online here

Apply before this date:

06/30/2019

Temporary Part-Time Public Health Consultant

Key Staffing is seeking a temporary Part-Time Public Health Consultant! The temporary Part-Time Public Health Consultant will be conducting investigations of enteric diseases by conferring with health care providers, school personnel, and patients. 30 or more college hours in a health or science related field is required. BS in a health or science related field is preferred. The temporary Part-Time Public Health Consultant will work approximately 20-30/hrs a week, including some evenings, through Sept 30, 2019. $14.25/hr!

Part-Time Public Health Consultant Job Responsibilities:
• Employee will conduct investigations of enteric diseases by conferring with health care providers, school personnel, and patients.
• Employee will conduct case and contact interviews, locating and motivating exposed contacts to seek prompt medical evaluation and treatment, and submitting case reports.
• Will ensure the completeness, accuracy, and timeliness of appropriate data collection for enteric surveillance data; will review cases for completeness of investigation; and close cases routed in the electronic surveillance system.
• Will perform clerical tasks such as data entry of laboratory results and coordinate and monitor data in the electronic disease surveillance system.

Part-Time Public Health Consultant Job Qualifications:
• Minimum qualifications for these positions include 30 or more college hours in a health or science related field.
• Preferred qualifications are a BS in a health or science related field.
• Telephone and email communication skills, attention to detail, database skills, Microsoft Office skills.

–Send resumes to: richardk@keystaffing.com
–Apply in office at: Key Staffing: 5840 SW Huntoon St. Topeka, KS 66604
— Apply on our website: https://jobs.keystaffing.com/WL52BaseP12/main.aspx?action=SearchOpportunitiesDetail&mode=initial&id=28667&index=1

Number of openings:

1

Compensation:

$14.25/hr

How to Apply:

--Send resumes to: richardk@keystaffing.com --Apply in office at: Key Staffing: 5840 SW Huntoon St. Topeka, KS 66604 -- Apply on our website: https://jobs.keystaffing.com/WL52BaseP12/main.aspx?action=SearchOpportunitiesDetail&mode=initial&id=28667&index=1

Apply online here

Apply before this date:

07/31/2019

Customer Experience Representative

Provides a world-class customer service experience by trouble shooting and resolving complex customer inquiries from members, employers, and providers.

Essential Functions:
Research, resolve and respond to inquiries and correspondence via telephone, written communication and/or in person. Inquiries will be from members, providers, group leaders and internal staff regarding a diverse range of topics including, but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, payments and appeals.
Uses critical thinking skills to determine course of action needed to resolve inquiry or complaint.
Must be comfortable being monitored for level of efficiency, accuracy and customer satisfaction and must be able to meet performance standards to achieve both individual and department goals.
Must be able to communicate effectively with appropriate tone and content. Customer Service calls are recorded to ensure accuracy and to provide a tool for feedback for reps.
Must be able to balance workload to ensure timely and accurate response to both internal and external customers.
Initiate claims adjustments and update enrollment information through the on-line systems as determined necessary through inquiries.
Must demonstrate the ability to listen, talk, type and perform research simultaneously using various research channels, both online and hard copy.
Must be able to follow a call guide.
Ability to provide education to our members and providers on various avenues available to them to obtain information such as the website.
Promote good working relations and positive work environment while acting as a role model to coworkers.
Must remain positive, pleasant, and helpful under a wide variety of circumstances including angry customers. Employee must be able to be on telephone constantly except for breaks and lunches and must wear a headset that plugs into the phone. Communication by telephone and direct personal contacts will consume 95% of the workday. Must operate a Personal Computer (PC) at least 95% of the day in which a sitting/stationary position is required. While performing the duties of this job, the employee is regularly required to talk or hear. Is subject to work standards and must achieve and maintain a commendable performance level in production and quality with minimal supervision. Must be able to adhere to a very strict schedule to include varying start and stop times and when allowed to go to break/lunch.

Qualifications:
High school education or its equivalent required. College or continuing education courses in communications, interpersonal relationships, psychology, anatomy, physiology, medical terminology, composition or business letter writing is preferred.
Working knowledge of Blue Cross and Blue Shield of Kansas customer service systems is required upon completion of training.
Detailed knowledge of contracts, benefit coding, enrollment regulations, and legal issues such as HIPAA, COBRA, OBRA, and MSP are required upon completion of training.
Excellent customer service skills, problem solving skills and organizational skills are required.
Must be comfortable working individually in a structured environment.
Proficiency in Grammar, Spelling, Typing and Basic Math are required.
Two year’s experience navigating multiple computer systems preferred.
Two year’s customer service experience preferred.
Excellent human relations and communication skills are required with the ability to interact positively with external customers and all levels of internal staff

Number of openings:

14

Compensation:

Hourly, $16.43 Full time, 40 hours/week, benefits eligible.

How to Apply:

Apply online at https://bcbsks.wd1.myworkdayjobs.com/External/job/Topeka/Customer-Experience-Representative_R2019095

Apply online here

Apply before this date:

04/07/2019