Medical Claims Processor

JOB TITTLE

Cash/Claims Processor Location Address :

4000 Luxottica Place, Mason, OH 45040 3 for Compliance purposes and 2 for HiTrust/Security requirements: 1. GeneralCompliance 2. HIPAA 3. Fraud,Waste,andAbuse 4. SecurityEssentials 5. IntroductiontoPhishing Inaddition; ModelofCare, ODAG, FSLFraud Integral Staff training,CA Fair Claims

GENERAL FUNCTION

Accurately and efficiently processes client self-bill files and/or incoming payments to customer invoices/accounts in appropriate systems. Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. This position requires team interaction as well as the ability to work independently.

About us:

Since its founding in 1996, CTC has grown into a trusted global partner in AI & ML, Enterprise Applications, Digital Services, Managed Services, and Business Services. With headquarters in Detroit, Michigan, CTC has a team of over 2,000 experts worldwide. We empower more than 100 organizations to tackle complex challenges and transform them into sustainable competitive strengths--driving innovation, efficiency, and growth every step of the way. Our strengths have always been Commitment to Customer, Commitment to Colleagues, and Commitment to Community (CTC).

MAJOR DUTIES AND RESPONSIBILITIES

Accurately and timely processes simple to complex incoming payments to customer invoices/accounts Effectively researches and resolves cash application issues using appropriate systems and with internal teams as needed Understands and quickly processes changes resulting from new systems, plans, benefit designs, etc. Consistently meets or exceeds agreed upon business objectives in productivity, accuracy and cycle time. Proactively works with manager to develop self-remediation plan when standards are not being met. Participates on department projects Identifies and recommends the systems/process modifications necessary to improve efficiency and effectiveness as it relates to the cash apply process. Works with team lead and manager to provide strong customer service and communication with internal and external clients. Communicates with team lead and manager, team members, and clients regarding issues in a timely manner and escalates as necessary to management. Runs assigned queries and reports weekly / monthly

BASIC QUALIFICATIONS

High School diploma 3+ years of experience in cash application or insurance related processes SAP knowledge and experience High level knowledge of MS Excel Ability to quickly grasp and retain information and concepts Minimum keystroke per hour requirement of 10,000 alpha and numeric with less than 2% error rate Strong customer service and communication skills, both oral and written High level of detail orientation, ability to work well under pressure and multi-task/ prioritize issues Flexibility working in both a team and individual environments

PREFERRED QUALIFICATIONS

Intermediate to Advanced- level Excel knowledge Previous AS400 knowledge and experience Detailed working knowledge of basic computer operations and systems, i.e.: Web-based search engines, Windows, and Microsoft Office products Prior experience/knowledge of vision benefits and/or insurance industry Knowledge of mid-range computer applications and query reporting Understand and honor high level of confidentiality Payrate $23/hourly on w2 NIT01

Pay:

$23.00 per hour

Experience:

medical or healthcare claims: 2 years (Required) cash collection: 2 years (Required)

Work Location:

In person