What are the responsibilities and job description for the Claims Finance Specialist - Contract to Hire position at Careington International Corporation?
EXPECTED WORK AND PERFORMANCE
Qualifications
Required
- Submission of request for funds (RFFs) for clients based on schedule or delivery.
- Submission of client invoices.
- Work collaboratively with Finance for the reconciliation of the clients funding accounts.
- Provide low balance client account information to the Account Management team.
- Assist with voids, refunds, and recoupments from overpaid claims.
- Assist with the resolution of escalated, DOI, OIG, OIC, and BBB complaints and appeals.
- Process first submission claims requiring re-adjudication.
- Audit provider accounts to confirm open receivables and payables and effectively communicate
Qualifications
Required
- Advanced computer skills and experience with MS Application – Adobe, Excel, Word, Outlook is
- Accounts Receivable, Audit, Claims Payment and/or Revenue Cycle Management experience.
- Minimum 2-year administrative office experience.
- Associate degree or equivalent combination of education and experience.
- Claims Processing Background.
- Strong mathematical skills.
- Understanding basic principles of finance, accounting, or bookkeeping.
- Extremely organized with the ability to effectively manage multiple tasks.
- Self-motivated and the ability to work independently with minimal supervision