The Scan Operator is tasked with Claims Preparation and Batching of claim forms and correspondence within EPIC (Tapestry). The Scan
Operator will utilize DataCap software to perform scanning and verification procedures of claim forms (UB04, CMS 1500 and
Correspondence) which includes batch verification, document integrity review, page type, document form type verification, attachment
review and confirmation functions. The Scan Operator will also perform data and image comparisons relative to Claim Data (bi lled amount,
units, dates, CPT Codes, Diagnosis Codes, additional Insurance Information, member demographic Information, Provider/Vendor selection
and Benefit information. The Operator will complete Data correction tasks for discrepancies, create discrepancy log, create inventory log of
claims received by individual healthplans. Additional tasks include claim (logging) number assignment of (paper claims) into Tapestry.
(Vendor Set-Up/Benefit Inquiry) rules will apply.
Job Title: Claims Verification Operator
Clinic Location: Pearland Administration Office Building
Job Type: Full Time
Salary Range: $37,669.00 – $46,530.00 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Required: High School diploma or GED from an accredited program
Required: 2 years of general office or medical insurance or 1 year of claims Preprocessing Experience
Preferred: ICD9/CPT Coding. Knowledge of medical terminology.
Preferred: EPIC Tapestry Experience
Required: Good verbal and written communication skills, professional appearance, positive attitude. Ability to function in a fast-paced work environment.
Preferred: Knowledge of HMO, PPO, and POS Healthplans.
Working Environment: Office
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance