Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Requisition No: 822431
Agency: Department of Lottery
Working Title: CLAIMS PROCESSING SPECIALIST - 36000116
Pay Plan: Lottery Exempt Serv
Position Number: 36000116
Salary: $36,125.08
Posting Closing Date: 05/02/2024
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CLAIMS PROCESSING SPECIALIST
FLORIDA DEPARTMENT OF THE LOTTERY
*Open Competitive Opportunity*
AGENCY BENEFITS:
If hired, as employee of the Florida Lottery, you will be provided the benefits listed below:
GENERAL POSITION DESCRIPTION:
This is a professional position requiring the use of independent judgment, performing analytical, customer service, and accounting functions, interpreting, and maintaining a wide variety of complex accounting, prize validation and prize payment records. Under the general supervision of a supervisor, the incumbent assigned to this position is responsible for carrying out the duties described below for Claims Processing, in accordance with established policies and procedures.
ESSENTIAL DUTIES:
Knowledge, Skills, and Abilities:
Agency-wide requirements for employment:
High School Diploma or equivalent (GED) required.
Successful passing of a criminal background check (state, local, and national) is required.
Maintains strict confidentiality of information learned while working with the Florida Lottery, whether learned through assigned duties or through working with other units. The types of confidential information may include, but are not limited to, payroll information, budget matters, policy decisions, tax matters, employee disciplinary issues, and other personnel data.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
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