Aditi Consulting · 4 hours ago
Document Service Representative
Albany, NY
Contract
Onsite
New Grad, Entry Level
$16/hr - $18/hrAditi Consulting is seeking a Document Service Representative to manage and process various medical claims. The role involves data entry, error correction, and maintaining workflow efficiency while ensuring compliance with established guidelines.
AppsConsultingInformation TechnologySoftware Engineering
Responsibilities
Examine, data enter and re-write all physician, hospital, dental, and pharmacy claims utilizing established policies and procedures as well as medical claims coding guidelines
Perform accurate FormWorks OCR error correction, Key from Image, and Key Entry on all medical, hospital, dental, and vision claims in accordance with departmental desk levels
Perform accurate FormWorks data entry on correspondence documents in accordance with departmental desk levels to ensure work items are filed appropriately in Macess and work items are routed to the correct doc flo queue for handling by each business area
Report any scanning, data entry, or workflow issues to the Team Lead, Document Management and/or a member of management as appropriate
Work mandatory overtime when deemed necessary to meet TAT service level metrics
Report any obvious provider billing problems observed
Provide value-added feedback regarding established desk levels and train newly hired staff when required
Maintain the production and accuracy ratio as established by the department
Re-direct claims and correspondence to the appropriate resource/department as needed in accordance with established Desk Levels
Research and contact appropriate resources as warranted for information necessary for the completion of examining and/or data entry utilizing the corporate documentation system
Initiate and assist in the development of process improvements necessary to resolve claims examining and data entry issues and system limitations
Perform all scanning room functions, this includes but is not limited to sorting, prepping, and scanning of all claims and correspondence documents into FormWorks in accordance with established desk levels
Archive all incoming claim and correspondence documents in accordance with established Desk Levels
Complete the daily rejection report, including retrieval of archived claim and correspondence documents, within established time frames
Verify scanned documents for completeness
Report any system, filing, scanning, or workflow issues to the Team Lead, Document Management, and/or a member of management as appropriate
Perform general scanner maintenance as needed
Identify and report deviations in provider practice and billing to the Team Lead, Document Management
Complete required department documents in an accurate and timely fashion as outlined in established procedures
The employee agrees to comply with companyâs Corporate Compliance Policy, and all laws, rules, regulations and standards of conduct relating to the Corporate Compliance Policy and has a duty and obligation to report any suspected violations of any law, the standards of conduct or Corporate Compliance Policy to his or her immediate Supervisor, the fraud and abuse hotline, the Compliance Officer, the Compliance Director, Human Capital Management or the Chief Executive Officer
Performs other duties as assigned
Qualification
Required
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
The requirements listed below are representative of the knowledge, skill and/or ability required
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Demonstrated ability to determine, analyze, and solve problems related to claims examining, correspondence and data entry
Ability to successfully apply problem solving and time management methodology and balance multiple tasks as business needs arise
Ability to apply specialty claims handling and data entry Desk Levels with adherence to department turnaround time frames to ensure regulatory compliance
Demonstrated ability to effectively communicate on both a verbal and written basis
Must utilize appropriate grammar, spelling, punctuation, and sentence structure in all written communications
Strong attention to detail and ability to meet established quality and production standards while maintaining department turnaround time frames
Ability to work independently with minimal supervision is required
Benefits
Medical
Dental
Vision benefits
10 paid days off
401(k) plan participation
Commuter benefits
Life and disability insurance
Company
Aditi Consulting
Aditi Consulting is a firm that stays abreast of offering technological solutions, project management and digital transformation.
Founded in 1994
1001-5000 employees
H1B Sponsorship
Aditi Consulting has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (55)
2024 (44)
2023 (25)
2022 (26)
2021 (24)
2020 (30)
Funding
Current Stage
Late StageLeadership Team
Raja Narayana
President & CEO
Pradeep Singh
Chairman
Recent News
bloomberglaw.com
2025-10-16
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