Cash Claims Processor

1 week ago

Whittier, California, United States Softura Pvt Ltd Full time

Job Title: Coordinator – Claims

Location: Whittier, CA 90606

Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM

Hybrid: 2 days onsite per week (mandatory)

Start Date: Immediate

Type: Temp-to-Hire

General Function:

The Coordinator – Claims is responsible for managing medical and vision billing claims, applying cash payments, reconciling accounts, and resolving claim denials. This role ensures the accuracy and timeliness of billing and collections processes while supporting overall cash operations. The ideal candidate will have hands-on experience with vision claims coding, billing, and cash application within a healthcare or vision care environment.

Major Duties and Responsibilities:

  • Manage the flow of cash processes to ensure timely application of payments to outstanding invoices.
  • Track and document cash processing statistics and report daily results to the Cash Supervisor.
  • Train associates on cash processing, payment posting, and handling denials or partial payments.
  • Research and resolve insurance denials, ensuring proper resubmission of claims.
  • Prepare and submit documentation for EFT setups and report any related issues.
  • Serve as a key contact for questions or issues related to Cash Operations and Filebound systems.
  • Coordinate and schedule monthly team meetings; attend internal and external meetings as required.
  • Support relationships with designated payers and provide management with regular updates.
  • Work weekly pre-bill queries to ensure claim accuracy and minimize denials.
  • Analyze receivable trends, payment frequencies, and root causes of outstanding balances.
  • Perform quarterly collections analysis and forecast payment expectations.
  • Assist with special projects, training, and reporting for management as needed.
  • Support receivable collections for Canada, including write-offs, adjustments, and monthly analysis.

Knowledge and Skills:

  • Strong knowledge of vision and/or insurance benefits.
  • Proven experience in claims processing and medical billing.
  • Proficient in Microsoft Excel and data analysis.
  • Excellent analytical, problem-solving, and organizational skills.
  • Strong written and verbal communication abilities.
  • Demonstrated confidentiality, integrity, and high work ethic.
  • Team-oriented with the ability to multitask and prioritize effectively.
  • Familiarity with AS400 queries and continuous improvement processes preferred.

Qualifications:

  • Minimum 3 years of vision billing experience (medical billing preferred).
  • High School Diploma required (additional education in healthcare administration a plus).

Job Type: Contract

Pay: $ $25.00 per hour

Work Location: In person

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