Sr. Records Clerk - Zenith American

Title: Sr. Records Clerk

Department: O - Claims

Position Type: Non-Exempt Hours per Week: 35/40

Job Function:

The Sr. Records Clerk providing support to the unit responsible for Full & Fair review performs functions in support of Service Level Agreement (SLA) record keeping, document procurement, Vendor Partner research coordination, record review, spread sheet template building, claim research and look up, packaging of responses to the client and custodial record management.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

General Duties:

• Primary contact for receipt of Full & Fair Requests from the Client.
• Works with Analyst to determine to scope of review requirements.
• Coordinates Vendor Partner Research for the Full & Fair analyst.
• Reviews and organizes records according client specifications.
• Builds response templates to include both word documents as well as Excel spread sheets.
• Pulls all related claim information via multiple portals and Claim's operating systems.
• Maintains custodial record management.
• Maintains SLA record keeping
• Consistently meets established performance standards and consistently demonstrates excellent attendance and punctuality.
• Performs related duties and special projects as assigned.

Minimum Qualifications:

• High School Diploma or Equivalent.
• One year of appeals experience, including data retrieval or record management, through which the candidate has demonstrated excellent attention to detail in all areas of claim's support and the ability to interact effectively with others.
• Excellent written and verbal communication skills.
• Knowledge of medical and/or dental terminology and medical office procedures preferred.
• Intermediate to advanced knowledge of Microsoft Office; Must be proficient with Excel

Zenith American Solutions

Real People. Real Solutions. National Reach. Local Expertise.

We are currently looking for a dedicated, energetic Sr. Records Clerkwith the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.

We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!