Benefits:

401(k)

401(k) matching

Dental insurance

Health insurance

Vision insurance

Wellness resources

Summary:

The Outstanding Resolutions Liaison assists in the processing and reconciliation of outstanding resolutions and returned checks, weekly claim payments and administrative payments reporting and analysis for multiple clients. In addition, other key responsibilities include leading in research and responding to Check Tracers, verifying both Weekly and Monthly reporting is accurate. Assist in specialty reports and uploads.

The candidate will need to be a self-motivated, organized, enthusiastic individual who lives and breathes confidentiality while maintaining and coordinating between Claims, Provider Services and Finance. The employee will need to be a self-starter, great communicator as this position will be required to speak internally as well as externally to resolve the issues pertaining to outstanding/stale checks, returned mail along with preparing financial payment packages for various clients. In addition to customer service and data entry, research is required. The ideal candidate must be able to multi-task and handle high volume workload while maintaining accuracy and deadlines.

The select individual will also provide independent or team analysis that focuses on identifying trends in claims and reporting along with identification of potential process improvements. It ensures the effective and timely delivery of quality financial/information products and services to MPM Clients.

Duties and Responsibilities:

Download and review, Weekly and Monthly reports for accuracy and timeliness for assigned clients

Ensuring the accuracy and timeliness of both Weekly and Month End reports for clients

Notify CLIENTs of Weekly Claim and Administration reports via e-mail.

Upload Weekly or Month End reports to Share site or FTP

Assist in Positive Pay function for assigned clients

Assist in Check Tracer function for assigned clients

Notify clients when account balances need additional funding.

Maintaining client records, Process and procedures and client distribution lists, files and monitoring reports to ensure accuracy and compliance with contractual and regulatory requirements.

Tracking and maintaining communications regarding liens.

Coordinating bank affidavits for erroneously cashed checks

Minimum Job Requirements:

Associates degree or an equivalent combination of education, training and experience is preferred.

Good organizational skills are required.

Knowledge, Skills and Abilities Required:

Strong understanding and experience using Excel preferred.

Detail oriented and demonstrated ability to establish priorities and meet deadlines when faced with multiple/competing tasks. Excellent interpersonal skills required to develop and maintain effective working relationships across all levels within the organization.

Willingness to ensure the job Is performed within specified parameters and deadlines is essential

Exceptional customer service, strong communication, and the ability to be analytical and multi-task are extremely important.

Detail -oriented, excellent proof reading and editing skills. Excellent technical/computer skills including Microsoft Office Suite and other accounting software programs.

Ability to exercise initiative, judgment, and take ownership when dealing with tasks.

Maintains information in a confidential manner and complies with HCLIENTA laws according to policy.

Regular and reliable attendance is an essential function of the position

Must work effectively in a team environment and able a supportive contributor or leader in team matters. Must conduct him or herself professionally and be capable of developing and maintaining positive, service-oriented relationships with all levels of healthcare professionals, both internal and external.

Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HCLIENTA) standards.

Performs additional duties as assigned.

Working Conditions and Physical Effort:

Regular and reliable attendance is an essential function of the position.

Work is normally performed in a typical interior/office work environment.

No or very limited physical effort required. No or very limited exposure to physical risk.

Flexible work from home options available.