Cash/Claims Processor - Diversity Nexus
MASON, OH 45040
About the Job
Actual Job Title: Cash Apply Coordinator
MUST BE AVAILABLE TO WORK ONSITE 3 DAYS A WEEK LOCAL CANDIDATES TO THE CINCINNATI AREA ONLY!
General Description : 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. MAJOR DUTIES AND RESPONSIBILITIES: 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.
EXPERIENCE: 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.
EDUCATION
High school degree required
Bachelor s degree in Business preferred.
As part of your contractor's compliance while working in the EyeMed department, the OIG, GSA/SAM and /OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings). Office of Inspector General: OIG: https://exclusions.oig.hhs.gov/?AspxAutoDetectCookieSupport=1 General Service Administrator List: SAM: https://sam.gov/search/?index=ex&sort=-relevance&page=1&pageSize=25&sfm%5Bstatus%5D%5Bis_active%5D=true Sanctions List Search: OFAC: https://sanctionssearch.ofac.treas.gov/ There will actually be 7 courses that required for all temporary employees:
3 for Compliance purposes and 4 for HiTrust / Security requirements:
q 2024 EyeMed General Compliance
q 2024 EyeMed HIPAA
q 2024 EyeMed Fraud Waste and Abuse
q 2024 Conflict of Interests Acknowledgement
q 2024 Avoiding Dangerous Links
q 2024 Unintentional Insider Treats
q FSL New Hire Fraud Integral Staff Training
In addition; Model of Care, ODAG, and CA Fair Claims.
MUST BE AVAILABLE TO WORK ONSITE 3 DAYS A WEEK LOCAL CANDIDATES TO THE CINCINNATI AREA ONLY!
General Description : 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. MAJOR DUTIES AND RESPONSIBILITIES: 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.
EXPERIENCE: 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.
EDUCATION
High school degree required
Bachelor s degree in Business preferred.
As part of your contractor's compliance while working in the EyeMed department, the OIG, GSA/SAM and /OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings). Office of Inspector General: OIG: https://exclusions.oig.hhs.gov/?AspxAutoDetectCookieSupport=1 General Service Administrator List: SAM: https://sam.gov/search/?index=ex&sort=-relevance&page=1&pageSize=25&sfm%5Bstatus%5D%5Bis_active%5D=true Sanctions List Search: OFAC: https://sanctionssearch.ofac.treas.gov/ There will actually be 7 courses that required for all temporary employees:
3 for Compliance purposes and 4 for HiTrust / Security requirements:
q 2024 EyeMed General Compliance
q 2024 EyeMed HIPAA
q 2024 EyeMed Fraud Waste and Abuse
q 2024 Conflict of Interests Acknowledgement
q 2024 Avoiding Dangerous Links
q 2024 Unintentional Insider Treats
q FSL New Hire Fraud Integral Staff Training
In addition; Model of Care, ODAG, and CA Fair Claims.
Source : Diversity Nexus