Shared Services: Risk Management- (Full-Time, Day Shift) -

Job Summary: The Claims Examiner-HP Enrollment role coordinates all aspects of eligibility and enrollment for the health plans administered by Risk Management. Performs other duties as needed.

Education and Experience: High School Diploma or GED required. Associate's Degree preferred.  Minimum two years of experience as claims adjuster, medical claims biller or related experience required. 

Knowledge and Skills: Completion of medical terminology course preferred. Able to keyboard 35 wpm and operate 10-key calculator. Able to analyze and interpret data; judge and act on analysis of data; apply mathematics to manipulate/analyze data; analyze and solve specific problems. Able to read, write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications: None