Pet Claims Documentation Analyst

Position Overview :

The Pet Claims Documentation Analyst will be responsible for entering claims documents into our electronic system and procuring veterinary records while interpreting, coding and understanding medical terminology in relation to diagnoses and procedures.

Essential Duties and Responsibilities :

• Handles veterinary records and document retrieval through phone, fax and email
• Review claims to ensure relevant and required documentation is received
• Follows adjudication policies and procedures to allow quick processing for Claims Adjusters
• Provides prompt customer service to members, providers and other internal company entities regarding claims
• Documents phone calls in system and follows up on issues if needed
• Handles all calls promptly and effectively per company standards while at the same time focusing on building rapport
• Prepares reports as required by management
• Additional activities as directed by management
• Requests and communicates with veterinarian offices on clarification of diagnosis to ensure understanding of services rendered
• Meets or exceeds goals and productivity levels set by management
• Will perform all other duties as assigned

Essential Knowledge, Skills, and Abilities :

• Strong understanding of veterinary medical terminology
• Ability to operate in a fast-pace, multi-tasking environment with deadlines
• Strong written, verbal, interpersonal, and phone communication skills
• Articulate, professional, and possesses a strong quality customer service mindset with attention to detail
• Strong computer background using MS Word, Outlook, Excel, and Internet
• Ability to learn quickly (to include our proprietary CRM system for managing customers and claims)
• Excellent tracking, follow-up, and relationship building skills
• Ability to identify problems and logically research with minimum assistance to locate answer through appropriate reference materials
• Proven history of adherence to corporate policies, procedures, and guidelines
• Proven Attendance Reliability

Beneficial Knowledge, Skills, and Abilities :

• Vet Tech or Medical Vet Assistant

Education/Experience Requirements :

• High school diploma or equivalency
• Three years veterinary medical experience or equivalency preferred

The salary range for applicants for this position is 41,600.