Accounting Technician II; Claims Processing-Medicare

Position: Accounting Technician II (Claims Processing-Medicare)
# # # To learn more about our website privacy policy, click on this .The Accounting Technician/Medicare Claims Overpayment Processor identifies, investigates, and recovers incorrectly paid medical claims by analyzing payment data, verifying over payments from sources like duplicate payments or system errors, documenting findings, and coordinating with providers for reimbursement or adjustments according to Medicare guidelines. Tasks include Medicare claim adjustments, Medicare Secondary Payer claim adjustments, preparing correspondence, creating, and updating accounts receivables and reviewing reports.  

This role requires strong analytical and communication skills, knowledge of medical terminology and claims processing, and the ability to maintain organized records and report on recovery efforts to ensure timely collection of over payments funds.
* Prepares various financial data associated with refunds, invoices, recoupments, adjustments, cash disbursements, deposits, check voids and reissues, disputes, correspondence, or other data in support of the finance or accounting function. Ensures data is complete, accurate, and organized for processing. Provides supervisor with daily, weekly, and/or monthly summary reports of accounting activities for the position.
* Completes moderately difficult research using financial reporting systems, files, and other means to identify errors such as over payments or misapplication of funds. Resolves routine questions and problems, referring complex issues to higher levels.
* Performs calculations on financial documents to ensure accuracy of bank deposits, receipts, disbursements, refunds, or other accounting-related items.
* Provides other support duties related to the accounting/finance function that may include monitoring financial systems, keying journal entries, tracking funds, balancing accounts, maintaining inventory and receiving cash funds from customers, etc. May assists less experienced accounting clerks as needed.
* Determines, prepares, and distributes correspondence regarding monies due or erroneously received. Issues refunds as appropriate.
* ** Required

Education:

** Associate's or equivalent in a job-related field.
* ** Degree Equivalency:
** 2 years job related work experience.
* ** Required Software and tools**:
Microsoft Office to include proficiency in Excel.
* ** Required

Skills and Abilities:

** Good oral and written communication. Excellent organization skills and attention to detail. Strong business math skills. Typical office environment.
* MSP and claims experience is highly preferred.
* Accounting experience, particularly related to reconciliations, is preferred.
* Experience with HIGLAS (Healthcare Integrated General Ledger Accounting System) is preferred.
* Strong proficiency in Microsoft Excel is highly preferred.
* We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
* Subsidized health plans, dental and vision coverage
* 401k retirement savings plan with company match
* Life Insurance
* Paid Time Off (PTO)
* On-site cafeterias and fitness centers in major locations
* Education Assistance
* Service Recognition
* National discounts to movies, theaters, zoos, theme parks and more.
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