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Reconciliation Lead
TheLeadReconciliationAnalystleads theteam that provides reconciliation services to FDS Amplicare customersand overseesthe customer relationshipand communication. This positionis expected to maintain anin-depth understanding of thecustomers needs and their businesstoprovide them with the best use of the FDS Amplicare reconciliationapplication.
Please note that the hourly rate for this position is $17 and it is an onsite position. These are all non-negotiable.
Responsibilities
Own the customer relationship and communicationduring the onboarding processincludingwelcome correspondence follow-up trainingassistance with completion of required documentation to establish third-party payer data transmittal.
Communicatenecessary customer actions including deposit verifications write-off approvalsand completion of necessary forms and documentation.
Communicateany issues that may arise including claims disputes.
Oversee development and communication of customer reports.
Partner with Onboarding teamto establish electronic receipt of 835 formsfrom third-party payers.
Provide analysisof reconciliation data and trends; assist customers in the design of necessary accounting protocols for submission of payment and claims posting activities.
Quickly and accuratelyanswer customer questions; route incoming calls to appropriate parties.
Resolve customer complaints if possibleor escalate to management.
Keep cases updated in NetSuite in a timely manner.
Utilize webinars to educateand train customers on reconciliationapplicationand available reports.
Complete Unposted Claims Report on a quarterly basis for assigned stores.
Performroot cause analysisonreoccurring issues; performclaims research.
Maintain absolute confidentiality and compliance with HIPAA guidelines for corporate and customer information.
Track and escalate technical issues.
Maintain satisfactory attendance in accordance with policy.
Other duties as assigned.
Required Knowledge and Skills
Proficiency in general office automation including operation ofSfax application copy machines and multi-line phone systems.
Ability to understand and apply standard operating procedures.
Ability to coach staff and customerson best practices (technical and business process).
Ability toskillfullygather and analyze information.
Strong basic mathematical skills.
Minimum typing speed of thirty-five (35) words per minute
Ability to establish/maintain cooperative working relationships with staff and customers.
Exceptionalwritten and verbal communication skills.
Self-starter capable of working with minimal supervision.
Ability to identify and resolve problems in a timely manner.
Excellent organizational skills.
Prioritize and plan work activities; use time efficiently.
Treat people with respect; uphold organizational values.
Ability to manage people through influence.
Ability to manage stressful situations such as manage difficultor emotional customer situations; respond promptly to customer or team needs
Excellent attendance punctuality and attention to details required
Basic Qualifications
High School Diploma or GED.
1-2 yearsexperience in professional customer service environment
Intermediate knowledge of MS Word and Excel
Knowledge/experience with cloud-based webinar applications (e.g. ZOOM)
Solid typing skills (i.e. 35 wpm)
Preferred Qualifications
Associate or Bachelor Degree
Pharmacy industry knowledge a plus
Management ofdirect orin-direct reports a plus
Experience in billing or reconciliation a plus
Ten key by touch
Work Conditions
The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Full-Time