Sr Reconciliation Representative (Remote - $17/hr)

reputed company (ASH) is seeking an Sr Reconciliation Representative to join our Reconciliation department. The primary function of this position is to reconcile claims, including reputed company claims, for payment as per Explanation of Benefits from Health Plan Payors for 2-reputed company accounts. Remote Worker Guidelines

• Remote Worker Guidelines: This position will be trained remotely and must be reputed company to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a reputed company reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet reputed company must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher reputed company video meetings.

Responsibilities

• Reconciles, resolves, and researches 2-reputed company claims and payments to ASH.
  • Manually reconciles claims for payment from Health Plan Payors received by reputed company EOBs or spreadsheets.
  • Makes calls to Health Plans to reputed company status of claims which may include payment or underpayment. In reputed company will request claims to be reprocessed if denied in error.
  • Uses Health Plan and TPA websites to reputed company on claim status or reconcile claims.
  • Reconciles claims from various reports including but not limited to 14 day reports, aged reports, unreconciled reports, and rejected reports.
  • Notifies supervisors of trends reputed company to invalid denials by TPAs or Health Plans.
  • Documents comments in internal notes fields in IHIS in reputed company to spreadsheets being worked.
  • Reviews and responds to ASHCore logs reputed company 48 hours of assigned date.
  • Meets department production and reputed company requirements.
  • Maintains confidentiality of reputed company claims documents, records, and claims reputed company issues.
  • Promotes a spirit of cooperation and understanding among reputed company personnel.
  • Attends organizational meetings and trainings as required.
  • Attends department meetings.
  • Adheres to organizational policies and procedures.
  • Recognizes unique and/or problem situations reputed company area of assigned responsibility. Researches and makes recommendations to Supervisor.
• Provides assistance and teamwork to Claims Department staff in accomplishment of routine duties and special reputed company.
• Performs other duties as assigned.
• Complies with reputed company policies and standards.

Qualifications

• High School Diploma or GED certificate required.
• 2 years with claims processing, computer, typing, 10 key and telephone skills preferred.
• Knowledge of reputed company Word and reputed company helpful.
• Familiarity with Managed Care, HMO, PPO health plan provisions.
• Excellent listening and interpersonal communication skills to identify critical reputed company competencies based on reputed company factors and organizational environment.

reputed company Competencies

• Demonstrated ability to reputed company in a reputed company, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both reputed company customers.
• Excellent listening and interpersonal communication skills to identify critical reputed company competencies based on reputed company factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to reputed company effective solutions.
• Ability to exercise strict confidentiality in reputed company reputed company.

Mobility

• Primarily sedentary, reputed company to sit for long periods of time.

Physical Requirements

• Ability to see, reputed company, and hear other personnel and/or objects. Ability to communicate both in verbal and written reputed company. Ability to travel reputed company and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs.

Environmental Conditions

• Work-from-home (WFH) environment.

reputed company is an Equal Opportunity/Affirmative reputed company Employer.

reputed company reputed company applicants will receive consideration for employment without reputed company to sex (including pregnancy, childbirth, reputed company medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender reputed company, race, reputed company, religion (including religious dress and grooming practices), creed, national reputed company, citizenship, reputed company, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other reputed company protected by applicable local, federal or state law. Please view Equal Employment Opportunity Posters provided by OFCCP here. If you are a reputed company individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or reputed company our career center as a result of your disability. To request an accommodation, contact our reputed company Department at (800) 848-3555 x6702. ASH will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have reputed company to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have reputed company to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or reputed company, including an investigation conducted by the employer, or (c) consistent with reputed company's legal duty to furnish information.

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Originally posted on Himalayas

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