Revenue Adjustment Coordinator
2 weeks ago
The Claims Adjustment & Recoupment I position at Medica is integral to the financial operations of the organization. This role involves thorough analysis, reconciliation, and application of payments, as well as the processing and management of applications and correspondence. The individual will be responsible for executing customer and member communications, ensuring that all activities adhere to regulatory, HIPAA, and service standards.
Primary Responsibilities:
- Manage and process various types of cash receipts, including electronic payments and checks
- Oversee held checks, conducting investigations and ensuring proper allocation to accounts
- Conduct bank reconciliations, addressing and resolving discrepancies in payments
- Prepare and input data from scanned documentation
- Maintain and update departmental databases for accuracy
- Coordinate the mailing of external communications
- Verify control totals and manage file releases
- Uphold cash control measures within the department
- Engage with both internal and external stakeholders to resolve payment-related issues
Qualifications:
- High School diploma or equivalent
- A minimum of 1 year of relevant experience in a similar role
Skills and Competencies:
- Strong time management abilities
- Familiarity with health insurance processes
- Proficient in Microsoft Office, particularly Excel
- Excellent verbal and written communication skills
- High attention to detail and commitment to customer service
- Strong organizational capabilities
- This position requires onsite presence
Medica is dedicated to offering a competitive salary and benefits package, while fostering a culture of diversity, equity, and inclusion. We are an Equal Opportunity/Affirmative Action employer.
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