Medova Healthcare Financial Group, LLC
  • Wichita, KS, USA
  • Hourly
  • Full Time

Medical, dental, vision, 401(k), PTO, paid holidays


A Business Process Assistant focuses on investigating and resolving payment queries and completing complex projects to support the organization.

 

Essential Functions:

  • Investigate payment status for pharmacy benefit managers and networks
  • Research and respond to questions from other departments as needed
  • Assist with setup and audit of benefit plans
  • Import prescription claim files and distribute output to processors
  • Complete deductible credits for problematic accounts
  • Generate reports on scheduled and ad hoc basis
  • Research, and advise on claim disputes providing additional support to the appeals team
  • Coordinate claims processing completed by third party claims processors
  • Investigate and report claim system issues
  • Develop and maintain an excellent working knowledge of policies in order to determine eligibility benefits and confirm accurate processing of claims.
  • Abide by HIPAA regulations and other privacy policies at all times
  • Maintain an exemplary attendance and tardiness record following established company guidelines
  • Demonstrate ability to work well with other departments and all Medova staff members
  • Complete other tasks, as assigned

Competencies:

  • Technical Capacity
  • Problem Solving
  • Attention to Detail
  • Initiative

Required Education and Experience:

  • High School Diploma or equivalent
  • 2-5 years of medical claims processing experience including medical terminology and coding
  • 1-2 years of health insurance industry experience

Preferred Education and Experience:

  • Additional course work in the medical field

Computer Skills:

  • Microsoft Outlook
  • Microsoft Word
  • Microsoft Excel
  • Data Entry
  • Ten Key

 

Position Type and Expected Hours of Work:

  • Full-time
  • Monday-Thursday 8am-5pm; Friday 8am-4pm

Work Environment:

  • Professional office environment
  • Standard office equipment such as computer, phone, postage machine, and copier/scanner/fax
  • Tobacco free
Medova Healthcare Financial Group, LLC
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