Coordinates manual intervention of Electronic Data Interchange (EDI) claim records when the patient demographic information does not match the eligibility record in the AmeriBen adjudication system.
Key Result Areas
Minimum core competency of 45 Halt matches per hour
Ability to navigate the Claim Batch Detail and Claim Batch Summary pages within the EDI Portal
Ability to navigate CA and AI functions in GBAS to locate patient eligibility information
Perform other related duties as assigned or needed
Assist Lead with improving processes and overseeing the inventory and production reporting
- Train and assist other staff as needed