Claims Finance Specialist - Contract to Hire at Careington International Corporation in Frisco, TX

Responsibilities

• • Submission of request for funds (RFFs) for clients based on schedule or delivery.
• • Submission of client invoices.
• • Work collaboratively with Finance for the reconciliation of the clients funding accounts.
• • Provide low balance client account information to the Account Management team.
• • Assist with voids, refunds, and recoupments from overpaid claims.
• • Assist with the resolution of escalated, DOI, OIG, OIC, and BBB complaints and appeals.
• • Process first submission claims requiring re-adjudication.
• • Audit provider accounts to confirm open receivables and payables and effectively communicate
• balances either directly to the provider or to an internal provider relations team member.

Requirements

• Required
• • Advanced computer skills and experience with MS Application – Adobe, Excel, Word, Outlook is
• required.
• • Accounts Receivable, Audit, Claims Payment and/or Revenue Cycle Management experience.
• • Minimum 2-year administrative office experience.
• • Strong mathematical skills.
• • Understanding basic principles of finance, accounting, or bookkeeping.
• • Extremely organized with the ability to effectively manage multiple tasks.
• • Self-motivated and the ability to work independently with minimal supervision
• • Associate degree or equivalent combination of education and experience.
• • Claims Processing Background.

Skills

Required

• Advanced computer skills
• Accounts Receivable
• Audit
• Claims Payment
• Revenue Cycle Management
• Strong mathematical skills
• Extremely organized
• Self-motivated

Preferred

• Claims Processing Background