About this role
EXPECTED WORK AND PERFORMANCE
Submission of request for funds (RFFs) for clients based on schedule or delivery.
Submission of client invoices.
Work collaboratively with Finance for the reconciliation of the clients funding accounts.
Provide low balance client account information to the Account Management team.
Assist with voids, refunds, and recoupments from overpaid claims.
Assist with the resolution of escalated, DOI, OIG, OIC, and BBB complaints and appeals.
Process first submission claims requiring re-adjudication.
Audit provider accounts to confirm open receivables and payables and effectively communicate
balances either directly to the provider or to an internal provider relations team member.
QUALIFICATIONS
Required
Advanced computer skills and experience with MS Application – Adobe, Excel, Word, Outlook is
required.
Accounts Receivable, Audit, Claims Payment and/or Revenue Cycle Management experience.
Minimum 2-year administrative office experience.
Preferred
Associate degree or equivalent combination of education and experience.
Claims Processing Background.
SKILLS
Strong mathematical skills.
Understanding basic principles of finance, accounting, or bookkeeping.
Extremely organized with the ability to effectively manage multiple tasks.
Self-motivated and the ability to work independently with minimal supervision