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Billing/Invoicing Processor

Tailored Management

Mason, OH

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JOB DETAILS
SALARY
$18.79 Per Hour
SKILLS
Adjudication, Billing, Claims Processing, Communication Skills, Customer Relations, Customer Support/Service, Data Entry, Detail Oriented, Establish Priorities, HIPAA (Health Insurance Portability and Accountability Act), High School Diploma, Information Technology & Information Systems, Insurance, Insurance Claims, Leadership, Maintain Compliance, Medicaid, Medicare, Microsoft Access Database, Microsoft Excel, Microsoft Word, Multitasking, Presentation/Verbal Skills, Provider Relations, Regulations, Regulatory Compliance, Sales Management, Training/Teaching, Vision Plan, Writing Skills
LOCATION
Mason, OH
POSTED
3 days ago
Title: Billing/Invoicing Processor
Location: Mason, OH 45040
Compensation: $18.79/hr on W2
Contract Length: 4+ months | Extension + Conversion Opportunities Available (Temp to Hire)
Start Date: ASAP

GENERAL FUNCTION
 
The Claims Processor accurately and efficiently processes claims from source documents, maintaining compliance with the insurance plan requirements and with high regard for adhering to goals for quality and claims production rates. Also performs other simple processes requiring a basic knowledge of claims adjudication.
 
MAJOR DUTIES AND RESPONSIBILITIES
 
  • Efficiently and accurately processes a variety of vision insurance claims or adjustments.
  • Determines any special plan requirements prior to billing.
  • Reviews claims before entry for completeness and compliance with business requirements.
  • Effectively and accurately reviews images and transcribed data in the Vidado portal in preparation for auto adjudication.
  • Participates on special project initiatives, including rework efforts as needed.
  • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
  • Maintains compliance with HIPAA guidelines and regulations.
  • Works with supervisor and co-workers to provide a high standard of customer service and communication with key customer interfaces that include Account Managers, Operations, Information Systems, Client Representatives and leadership team.
  • Partners with the Provider Relations team by providing information that is necessary to properly train the stores, providers and field management.
  • Contacts stores or providers (when necessary) to obtain additional information or follow up on claims.
 
BASIC QUALIFICATIONS
 
  • High School diploma or equivalent work experience
  • 1+ year(s) of data entry experience
 
PREFERRED QUALIFICATIONS
 
  • Bachelor's degree
  • Claims processing experience
  • Strong customer service focus
  • Good verbal communication skills
  • Good written communication skills
  • Able to quickly grasp and retain information and concepts
  • Able to multi-task and prioritize issues
  • Strong attention to detail
  • Knowledge of Medicare/Medicaid business
  • Understand and honor high level of confidentiality
  • Knowledge of vision benefits and/or insurance industry
  • Proficient in Microsoft Word, Excel and Access
  • Working knowledge of interface systems such as Facets, EyeNet, and ExClaim
#TMCS
 

About the Company

T

Tailored Management

CONNECTING TOP TALENT WITH TOP-TIER OPPORTUNITIES

Tailored Management is a global staffing firm that specializes in partnering with large organizations that run their contingent labor program in a VMS/MSP environment. We have the unique capacity to support programs across all scopes and geographic locations from a single headquarters, successfully elevating program performance across the board and minimizing costs, miscommunication and delivery times. But what do we really do? We bring together the best talent with the greatest opportunities.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
1968
WEBSITE
https://www.tailoredmanagement.com/

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