Hybrid – work in office 2 days a week.Description/Comment:COORDINATOR CLAIMSMAJOR DUTIES AND RESPONSIBILITIESManage the flow of processes completed by Cash Processors to ensure all cash is applied in a timely manner to outstanding invoices and provide Cash Supervisor for daily updates.Document and track stats of all processes within Cash and report results to Cash SupervisorTrain associates on how to process transactions, which include researching and applying cash for both Payers and Members, identifying and documenting partial payments and denials and scanning completed batches into FileboundComplete and submit applications and documentation necessary for setting up EFT’s (report any issues to Cash Supervisor)Provide a point of contact for any questions/issues regarding Cash for other areas of AssignmentProvide a point of contact for any questions/issues regarding FileboundAttend meetings and or conference calls at the request of Cash Supervisor to provide insight on Cash processes for internal or external customersSchedule and coordinate monthly team meetingsSupport relationships with designated Payers, including frequent updates to Management teamWork pre-bill queries weekly to ensure claims are sent accurately to minimize denialsAnalyze open receivable trends, including payment frequency and root cause analysisResearch and resolve insurance denials for proper submission of claims within a given time frameResolve/escalate any Provider, plan set-up, store and/or system issues accurately and in a timely mannerRun and work various AS400 queries for research each week to analyze in Microsoft ExcelQuickly summarize outstanding AR issues and provide recommendations/solutionsAnalyze collections data quarterly and develop projects based on P&L risk by Payer, forecasting expected payments and providing line of sight to resolutionSupport the collection of receivables for Canada, including write-offs (adjustments), monthly ATB analysis and resolution of issuesAssist Supervisor as needed with special projects and trainingKNOWLEDGE AND SKILLSKnowledge of vision and /or insurance benefitsKnowledge or experience in claims processingProficient in Microsoft Excel applicationUnderstand and honor high level of confidentialityPromote integrity and a strong work ethicAble to quickly grasp and retain information and conceptsAble to multi-task and prioritize handling of issuesTeam and performance orientedStrong communication skills, both oral and writtenKnowledgeable in continuous improvement and problem solvingStrong analytical skillsStrong customer serviceSpecific Skills Needed:Top 3-5 mandatory and/or minimum requirements: experience with vision claims coding and billing and cash apply experienceTop 3-5 desirable attributes/qualificationsRequired levels/ Years of Experience education – discuss whether there is flexibility: 3 years vision billing experience, preferably medical billing. HS diploma.Notes:Temp to Hire roleThe hours are Monday – Friday 9am- 5pm Hybrid – work in office 2 days a week. VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description/Comment:COORDINATOR CLAIMSMAJOR DUTIES AND RESPONSIBILITIESManage the flow of processes completed by Cash Processors to ensure all cash is applied in a timely manner to outstanding invoices and provide Cash Supervisor for daily updates.Document and track stats of all processes within Cash and report results to Cash SupervisorTrain associates on how to process transactions, which include researching and applying cash for both Payers and Members, identifying and documenting partial payments and denials and scanning completed batches into FileboundComplete and submit applications and documentation necessary for setting up EFT’s (report any issues to Cash Supervisor)Provide a point of contact for any questions/issues regarding Cash for other areas of AssignmentProvide a point of contact for any questions/issues regarding FileboundAttend meetings and or conference calls at the request of Cash Supervisor to provide insight on Cash processes for internal or external customersSchedule and coordinate monthly team meetingsSupport relationships with designated Payers, including frequent updates to Management teamWork pre-bill queries weekly to ensure claims are sent accurately to minimize denialsAnalyze open receivable trends, including payment frequency and root cause analysisResearch and resolve insurance denials for proper submission of claims within a given time frameResolve/escalate any Provider, plan set-up, store and/or system issues accurately and in a timely mannerRun and work various AS400 queries for research each week to analyze in Microsoft ExcelQuickly summarize outstanding AR issues and provide recommendations/solutionsAnalyze collections data quarterly and develop projects based on P&L risk by Payer, forecasting expected payments and providing line of sight to resolutionSupport the collection of receivables for Canada, including write-offs (adjustments), monthly ATB analysis and resolution of issuesAssist Supervisor as needed with special projects and trainingKNOWLEDGE AND SKILLSKnowledge of vision and /or insurance benefitsKnowledge or experience in claims processingProficient in Microsoft Excel applicationUnderstand and honor high level of confidentialityPromote integrity and a strong work ethicAble to quickly grasp and retain information and conceptsAble to multi-task and prioritize handling of issuesTeam and performance orientedStrong communication skills, both oral and writtenKnowledgeable in continuous improvement and problem solvingStrong analytical skillsStrong customer serviceSpecific Skills Needed:Top 3-5 mandatory and/or minimum requirements: experience with vision claims coding and billing and cash apply experienceTop 3-5 desirable attributes/qualificationsRequired levels/ Years of Experience education – discuss whether there is flexibility: 3 years vision billing experience, preferably medical billing. HS diploma.Notes:Temp to Hire roleThe hours are Monday – Friday 9am- 5pm Hybrid – work in office 2 days a week.
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