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Financial Claims Analyst Representative
- Independent Health (Buffalo, NY)
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FIND YOUR FUTURE
We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.
The Financial Claims Analyst Representative shall be responsible for claims payment issues as they relate to cash adjustments on the operations and financial systems.
Qualifications
+ High School diploma or GED required; Associates degree preferred.
+ Experience with claims processing and procedures required.
+ Independent Health claims experience preferred to include experience with current operating systems.
+ Ability to grasp new processes and procedures.
+ Decision making and analytical skills for review of health care benefits as they relate to payments.
+ Excellent written and verbal communication skills.
+ PC and Windows skills required, Siebel and Maccess preferred.
+ Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable.
Essential Accountabilities
Technical Proficiency:
+ Ensure that all voids and cash adjustments are logged, researched, adjusted, reprocessed, and recorded to the operations and financial systems in an accurate, consistent, and timely manner. Coordinate with provider offices and internal departments when necessary. Account for all refund cash that is received by Independent Health monthly.
+ Maintain technical proficiency by developing/updating the departmental policy and procedure manual on a regular basis and keeping up with any new workflow processes.
Communication:
+ Summarize all activity monthly for review by the accounting, COB, and internal operations departments. Recommend areas for improvement to specific departments based on these findings.
Review:
+ Ensure accuracy of invoices received from third party collection agencies on workers compensation cases. Review and validate all listed claims where reimbursement is requested. Notify internal departments of any necessary adjustments.
Team Building:
+ Assist in the cross training of other department members as it relates to cash adjustments.
+ Lend support to accounts receivable department to expedite the collection process as needed.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $20.00 - $23.00 hourly
_Compensation may vary based on factors including but not limited to skills, education, location and experience._
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
_As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law._ _Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information)_ _for additional EEO/AAP_ _or Reasonable Accommodation_ _information._
Current Associates must apply internally via the Job Hub app.
The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.
Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.
We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.
We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.
Apply today and join us on the journey to a happier, healthier, and more inclusive community.
We are a drug-free workplace. We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: [email protected] or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221.
_Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us._
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Financial Claims Analyst Representative
- Independent Health (Buffalo, NY)