Cash and Claims Coordinator with

4 days ago

Mason, Ohio, United States AZAAKI SOLUTIONS PRIVATE LIMITED Full time $42,000 - $84,000 per year

#AZAAKI-NONIT

We are seeking a skilled Cash and Claims Coordinator (Medical Billing & Cash Application) to join our client's team, one of the US's largest companies.

General Summary

The Cash/Claims Coordinator is responsible for billing medical claims, applying cash, and working the aged trial balance by identifying, fixing, and resubmitting claims to insurance carriers. Candidates must have recent and relevant experience in vision claims coding, billing, and cash application processes.

Major Duties and Responsibilities

  • Manage the flow of processes completed by Cash Processors to ensure all cash is applied in a timely manner to outstanding invoices and provide daily updates to the Cash Supervisor.
  • Document and track statistics of all cash-related processes and report results to the Cash Supervisor.
  • Train associates on how to process transactions, including researching and applying cash for both Payers and Members, identifying and documenting partial payments and denials, and scanning completed batches into Filebound.
  • Complete and submit EFT setup applications and documentation, reporting any issues promptly.
  • Act as a point of contact for any cash-related questions or issues from other internal departments.
  • Serve as Filebound system point of contact for related inquiries.
  • Attend meetings and conference calls as requested by the Cash Supervisor to provide insight on cash processes for internal or external customers.
  • Schedule and coordinate monthly team meetings.
  • Support and maintain relationships with designated Payers, including providing frequent updates to management.
  • Work pre-bill queries weekly to ensure accurate claim submissions and minimize denials.
  • Analyze open receivable trends, including payment frequency and root cause analysis.
  • Research and resolve insurance denials for proper resubmission of claims within required time frames.
  • Resolve or escalate provider, plan setup, store, or system issues accurately and in a timely manner.
  • Run and work various AS400 queries weekly and perform data analysis in Microsoft Excel.
  • Summarize outstanding accounts receivable (AR) issues and provide recommendations and solutions.
  • Analyze collections data quarterly and develop projects based on P&L risk by payer, including forecasting expected payments and providing visibility to resolution.
  • Support Canadian receivables collections, including write-offs (adjustments), monthly ATB analysis, and issue resolution.
  • Assist the Supervisor with special projects and training as needed.

Knowledge and Skills

  • Knowledge of vision and/or insurance benefits
  • Experience in claims processing and cash application
  • Proficiency in Microsoft Excel
  • Strong analytical and problem-solving skills
  • Knowledge of continuous improvement and process optimization
  • Strong customer service orientation
  • High attention to detail and accuracy
  • Excellent written and verbal communication skills
  • Ability to multi-task and prioritize effectively
  • Team-oriented and performance-driven mindset
  • Integrity, confidentiality, and strong work ethic
  • Ability to quickly grasp and retain information and concepts

Education and Experience Requirements

  • High School Diploma required
  • 3+ years of vision billing experience, preferably in medical billing

Flexibility with experience may be considered

#AZAAKI-NONIT

Job Type: Contract

Pay: $ $21.43 per hour

Expected hours: 40 per week

Work Location: Hybrid remote in Mason, OH 45040

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