THIRD PARTY LIABIL CLRK-GTW Job in San Antonio 78201, Texas US

                                    GTW, CONSULTANTS ASSOCIATES, LLC    
 
 
Company Job Title:              THIRD PARTY LIABILITY CLERK
Chenega Job Title:               General Clerk II
Clearance:                             Background
Location:                                TX, San Antonio
Reports To:                           Program Manager
FLSA Status:                         Regular, Full-Time, Salary, Non-Exempt
Prepared Date:                      3/21/2012
Approved Date:                     3/21/2012       
 
 
Summary
Serves as a third party liability clerk for all aspects of Medical Affirmative
Claims (MAC) and Medical Service Agreement (MSA) operations support. The position will
provide support to improve the medical treatment facility (MTF) billing accuracy and
compliance and to provide general administrative support and performance office automation
duties in combination with clerical work required to support the Resource Management Office.
This individual will not be processing, researching or billing insurance claims.
 
Essential Duties and Responsibilities Duties include, but are not limited to the following:
 
·         A fully qualified typist (computer keyboard) with a minimum of 40 WPM is
required.
·         English language, correct grammar, spelling, punctuation, capitalization, and format
to prepare and edit written correspondence, reports, and transcribed material.
·         Microsoft Office programs, Outlook (e-mail), and Internet familiarity.
·         The ability to input and extract data from established databases.
·         Standard office equipment, such as computers, typewriters, copiers, fax machines,
telephone systems and office automation systems, to perform a substantial range of
medical billing support.
·         General medical ethics, telephone etiquette, and excellent communication and
customer service skills.
·         Familiarity with the insurance industry and practices is required. Knowledge of
Department of Defense, TRICARE and Regional and local support services is desirable.
·         Familiarity with National Drug Code, International Classification of Diseases version
9 (ICD-9), and Current Procedural Terminology-Version 4 (CPT-4) coding.
·         Ability to read, interpret medical documentation, and understand medical
terminology.
 
 
Supervision
This position does not have supervisory responsibilities.
 
 
 
 
 
Minimum Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
 
Education and/or Experience
·         High School diploma or General Educational Development (GED)
equivalency. Basic medical terminology required.
·         At least two years relevant experience.
 
Computer Skills
To perform this job successfully, an individual should have knowledge of Internet software; Excel Spreadsheet software and Word Processing software.
 
Certificates, Licenses, Registrations, Clearance:
N/A
Competencies - To perform the job successfully, an individual should demonstrate the following competencies:
 
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
 
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
 
Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
 
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
 
Strategic Thinking - Develops strategies to achieve organizational goals; Understands organization's strengths weaknesses; Analyzes market and competition; Identifies external threats and opportunities; Adapts strategy to changing conditions.
 
Planning/Organizing - Prioritize and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.
 
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
 
Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention.
 
Qualifications - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
Language Skills - Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.  Ability to write reports, proposals, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
 
Mathematical Skills - Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
 
Reasoning Ability - Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to question activities and issues in all functional areas and make sound business decisions based on that data.
 
Physical Demands - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.
 
Work Environment - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
 
The employee will normally work in a temperature-controlled office environment, with frequent exposure to electronic office equipment.
 
During visits to areas of operations, may be exposed to extreme cold or hot weather conditions.  Is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals, and loud noise.
 
Chenega Corporation is an EOE. AA/M/F/D/V. Native preference under PL 93-638. We participate in the E-Verify Employment Verification Program.
 

Minimum Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education and/or Experience
• High School diploma or General Educational Development (GED)
equivalency. Basic medical terminology required.
• At least two years relevant experience.

Computer Skills
To perform this job successfully, an individual should have knowledge of Internet software; Excel Spreadsheet software and Word Processing software.

Certificates, Licenses, Registrations, Clearance:
N/A


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