Office Services Clerk

DELTA DENTAL OF ILLINOIS

This job was posted by https://illinoisjoblink.illinois.gov : For more
information, please see:
https://illinoisjoblink.illinois.gov/jobs/12208407

OVERVIEW OF POSITION: The Office Services Clerk enters new dental claims
and DeltaCare encounters, performing the necessary research to ensure
timely and accurate payment to dentists. This position also has
responsibility for timely imaging of documents for other departments and
shares the responsibility as backup for the Receptionist: receiving and
distributing incoming telephone calls, as well as welcoming visitors and
ensuring that all DDIL security policies are met. DUTIES &
RESPONSIBILITIES: Key and research dental paper claims that cannot be
processed by OCR and requires manual entry within established department
objectives Maintain data entry logs and reports. Create and maintain
Overpayment Letter process. Maintain, and properly dispose of, source
documents according to department guidelines. Key and research DeltaCare
encounter claims within established department objectives. Send
pre-printed requests for additional information, and on occasion, call
the dentist office for clarification on a submitted encounter claim.
Maintain the encounter files and archive older claims as directed. Share
responsibility and act as the primary backup to the Receptionist as that
person takes their break, lunch, time off work, or assigned to other
duties that takes them away from the front desk. Answer incoming calls
to DDILs general phone number and direct them to the appropriate
queues, employees, and/or departments. Direct transferred calls from
employees of DDIL to other departments. Greet and direct visitors to the
appropriate employee or department, ensuring compliance with all privacy
and security policies. Supply basic information to customers when
appropriate (e.g. claims mailing address, fax number, employee contact
information, etc.). Scan all documents for electronic image retrieval
and archive within established department objectives. Other scanning
related duties include: Maintain scanning logs and reports and ensure
timely confirmation of task completion back to the job requestor.
Maintain, and properly dispose of, source documents according to
department guidelines. Accesses EPHI following the current guidelines as
established at the company- wide and department levels. Maintains
regular attendance and punctuality. Performs other job-related duties as
assigned.

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