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Cash / Claims Processor

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Abacus Service Corporation

2mo ago

  • Job
    Full-time
    Entry, Junior & Mid Level
  • Cincinnati

AI generated summary

  • You need knowledge of AS400, third-party benefits, 10,000 keystrokes/hour with <2% errors, detail-oriented, flexible, Excel proficiency, confidentiality, integrity, a strong work ethic, and a high school diploma.
  • You will process claims, manage payment backlogs, research insurance transactions, apply cash, and recommend system improvements to enhance efficiency and ensure timely billing.

Requirements

  • - Working knowledge of mainframe computers and systems in general, ie: AS400
  • - Understands third party benefits and administration
  • - Minimum keystrokes per hour requirement of 10,000 with less than 2% error rate
  • - High level of detail orientation
  • - Flexibility working in both a team and individual environments
  • - Proficient in Microsoft Excel applications
  • - Understand and honor high level of confidentiality
  • - Promote integrity
  • - Strong work ethic
  • - High school degree required
  • - Bachelor’s degree in Business preferred
  • - OIG/GSA/OFAC screening is an additional requirement for EyeMed positions
  • - Screenshots of completed training is required during 1st week of hire
  • - Eyemed Mandatory Training (3 for Compliance purposes and 3 for HiTrust / Security requirements) is required during first 3 weeks

Responsibilities

  • - Ensure claims are billed within the timely filing limits provided by each constituent.
  • - Resource Medicaid Claim related to the For Eyes business: currently +8500 in backlog to be entered into portals and sent to carriers.
  • - Stores are not currently obtaining necessary information. Staffing support needed until store processes can be improved and changes can be implemented to create smoother processing.
  • - Manually process VSP checks related to the For Eyes business: +1500 checks in backlog to post in AS400 and ongoing volume that must be managed.
  • - Research and apply insurance payments from clients to the appropriate system invoice.
  • - Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges.
  • - Continuously improve methods for research and in order to effectively and efficiently process transactions.
  • - Process transactions – apply cash, member bills, resubmit invoices, write-offs, etc.
  • - Follow data processing guidelines to meet established departmental standards.
  • - Communicate with supervisor regarding transactions processed in a timely manner.
  • - Identify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes.

FAQs

Is this position remote?

Yes, this position is 100% remote but candidates must be local to Cincinnati.

What is the duration of this position?

The position is temp to hire, expected to last 3-4 months, with potential extensions.

What are the main responsibilities of a Cash / Claims Processor?

The main responsibilities include processing transactions, applying cash, resubmitting invoices, managing claim payments, and improving research methods for efficient transaction processing.

What type of education is required for this position?

A high school degree is required, and a Bachelor’s degree in Business is preferred.

What kind of experience is necessary for this role?

Experience in applying cash against medical claims and working knowledge of AS400 and mainframe systems are necessary.

Are there any mandatory training requirements?

Yes, there are mandatory trainings for compliance and security requirements that must be completed within the first three weeks of hire.

What is the standard work schedule for this position?

The standard work schedule is from 8:00 AM to 5:00 PM, with a half-hour lunch break.

Are background checks and drug screenings required?

Yes, candidates must undergo a background check and a 5-panel drug screening as part of the hiring process.

How are claims to be processed during the training period?

During the training period, candidates will process Medicaid claims related to For Eyes and manage VSP checks in backlog until store processes are improved.

What is the required keystroke rate for this position?

A minimum keystrokes per hour requirement of 10,000 with less than a 2% error rate is expected.

Abacus Service Corporation

Right Person. Right Price. Right Now.

Human Resources
Industry
201-500
Employees
2004
Founded Year

Mission & Purpose

Abacus Service Corporation is an award winning, national staffing company that provides outstanding matrix-based solutions to our clients. We support all industries with a specialized recruiting approach to meet the specific needs of our clients for Professional, Administrative, Engineering, Scientific and Information Technology labor categories. Our processes are well defined and lead to lower costs, lower turnover, higher productivity and compliance. Abacus’ culture is devoted to building a strong and lasting relationship with our employees, clients and the communities we serve. We are a certified minority and woman owned business that supports the building of a diverse workforce.