Financial Claims Analyst Representative
:
FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview The Financial Claims Analyst Representative shall be responsible for claims payment issues as they relate to cash adjustments on the operations and financial systems. Qualifications - High School diploma or GED required; Associates degree preferred.
- Two (2) years of experience with claims processing and procedures required.
- Independent Health claims experience preferred to include experience with current operating systems. Understanding in CPT and IDC-9 coding with strong knowledge of billing preferred.
- Ability to grasp new processes and procedures.
- Decision making and analytical skills for review of health care benefits as they relate to payments.
- Excellent written and verbal communication skills.
- PC and Windows skills required, Siebel and Maccess preferred.
- Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable.
Essential Accountabilities Technical Proficiency: - Ensure that all voids and cash adjustments are logged, researched, adjusted, reprocessed, and recorded to the operations and financial systems in an accurate, consistent, and timely manner. Coordinate with provider offices and internal departments when necessary. Account for all refund cash that is received by Independent Health monthly.
- Maintain technical proficiency by developing/updating the departmental policy and procedure manual on a regular basis and keeping up with any new workflow processes.
Communication: - Summarize all activity monthly for review by the accounting, COB, and internal operations departments. Recommend areas for improvement to specific departments based on these findings.
Review: - Ensure accuracy of invoices received from third party collection agencies on workers compensation cases. Review and validate all listed claims where reimbursement is requested. Notify internal departments of any necessary adjustments.
Team Building: - Assist in the cross training of other department members as it relates to cash adjustments.
- Lend support to accounts receivable department to expedite the collection process as needed.
Immigration or work visa sponsorship will not be provided for this position Hiring Compensation Range: $20.00 - $23.00 hourly Compensation may vary based on factors including but not limited to skills, education, location and experience. In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future. As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here for additional EEO/AAP or Reasonable Accommodation information. Current Associates must apply internally via the Job Hub app.
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