Claims Specialist (CT)
The GT Self Determination Claims Specialist maintains a core understanding of the company and of Operations. The GT Self Determination Claims Specialist is expected to follow departmental procedures and adhere to GT and agency guidelines to ensure work is completed accurately and efficiently. The GT Self Determination Claims Specialist maintains knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies in which GT Independence holds a contract. All GT Self Determination Claims Specialists must maintain a core understanding of the company and of Operations.
RESPONSIBILITIES AND DUTIES
Preparation of billing data to be used in the billing of payers
Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
Submit invoices to agencies
Applies payments
Collects on unpaid claims
Prepares advance reconciliations and applies payments to the general ledger
Enters information into computer databases for effective record keeping
Collaborates with other staff members to optimize delivery of services
Ensures all compliance standards are met for audit purposes
Maintains confidentiality of records relating to clients
Identifies opportunities to improve our processes
Upholds company values and mission
Other duties as assigned
EDUCATION
High School Diploma or GED required
Associate degree preferred
EXPERIENCE AND QUALIFICATIONS
2 years of experience relevant to the work performed
Experience with Microsoft Office products is necessary, specifically Microsoft Excel
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
Excellent written and oral communication skills
Ability to plan and organize daily work to meet strict deadlines
Strong attention to detail
Able to work with numbers and apply basic math skills to daily tasks
Strong ability to participate on a highly effective team
WORK ENVIRONMENT
Work is performed in a typical office setting or from a home office.