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Document Retrieval Specialist

Sapphire Digital

Sapphire Digital

Morristown, NJ, USA
Posted on Oct 5, 2024

The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations.

Key Responsibilities:

  • Assisting the nursing staff in the medical claim audit process by contacting healthcare providers to request and obtain billing documents via fax, mail & e-mail for claims processing

  • Organize and prioritize claims daily for follow up of billing documents not received

  • Processes document request cancellations

  • Meets or exceeds the Document Retrieval Performance Standards established by the Document Retrieval department

  • Performs other related responsibilities as assigned

  • Maintain awareness of and ensure adherence to ZELIS standards regarding privacy

Professional Experience:

  • Healthcare/Medical Claims experience a plus
  • Customer Service experience a plus
  • Great verbal communication skills
  • Knowledge of MS Outlook, MS Word, & Internet Explorer
  • Strong prioritizing & organizational skills
  • Excellent customer service & telephone skills

Education:

High School Diploma

Associate's degree is a plus

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

Commitment to Diversity, Equity, Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com.

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.