CashClaims Processor Assignment

Mason, OH - USA

Monthly Salary: Not Disclosed

Posted on: 4 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Title: Cash/Claims Coordinator

Location: 4000 Luxottica Place Mason OH 45040 (Hybrid 3 days per week onsite mandatory)
Duration: 3 Months possible extensions/ Temp-to-Hire

Pay Rate: $17.00 21.00/hr. W2 All Inclusive

Work Schedule: Monday Friday 9:00 AM 5:00 PM (Flexible 40 hours per week)
Start Date: Immediately

Interview Mode: Onsite

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

CANDIDATE SELF-ASSESSMENT QUALIFYING SKILL MATRIX

Please fill out the below matrix while applying. Use a scale of 1 (Beginner) to 10 (Expert) for the Self-Rating column.

Skill Category	Required / Preferred	Skill Description	Self-Rating (1 10)	Years of Experience	Additional Notes / Comments
Vision Claims Billing	Required	Hands-on experience in vision claims coding billing and submission
Cash Application	Required	Applying cash managing payments and reconciling outstanding balances
Denial Management	Required	Researching and resolving insurance denials and resubmitting claims accurately
Accounts Receivable (AR) Analysis	Required	Analyzing open receivables trends and payment frequency
Claims Processing Systems (AS400 Filebound)	Required	Experience with AS400 queries and Filebound system for cash processing
Microsoft Excel	Required	Data analysis reporting and tracking using Excel functions
Training & Mentoring	Preferred	Training team members on cash processes and documentation
Communication Skills	Preferred	Effective oral and written communication with teams and management
Problem Solving / Analytical Skills	Required	Ability to identify root causes provide solutions and analyze data
Customer Service	Preferred	Providing support to payers and internal teams with accuracy and professionalism
Continuous Improvement	Preferred	Applying process improvement or lean thinking in cash operations
Confidentiality & Integrity	Required	Maintaining data privacy and ethical standards

Job Title: Cash/Claims Coordinator Location: 4000 Luxottica Place Mason OH 45040 (Hybrid 3 days per week onsite mandatory) Duration: 3 Months possible extensions/ Temp-to-Hire Pay Rate: $17.00 21.00/hr. W2 All Inclusive Work Schedule: Monday Friday 9:00 AM 5:00 PM (Flexible 40 hour...