Claims Finance Specialist - Contract to Hire

Job Title

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

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.