Funding Coordinator MedCost, LLC - Winston-Salem, NC General Summary Responsible for the complete administrative oversight of the client funding process. Includes preparation and distribution of payments and EOBs/ERAs according to defined timelines and with complete accuracy. This team member should operate in a manner that is consistent with the MedCost mission statement, work to meet or exceed performance measures and goals, and meet customer’s needs. Principal Duties and Responsibilities Generate and distribute payments, including: o Checks and e-payments to providers. o Coordination of release of EOBs and ERAs. o Checks and direct deposit to members. Notify client of check run, amounts, provide check registers and authorization form. Coordinate vendor relationships, including but not limited to, payment distribution and financial institutions. Generate Positive Pay files for distribution based on employer group health plan, as applicable. Maintain documents as verification of client check run, funding date and release of payments and EOB’s/ERA. Validate proper authorization forms have been received prior to release. Process flexible spending account check runs, prepare checks and coordinate release with client. Keep accurate records of client funding expectations and reporting needs. Research client issues relating to inquiries and/or delinquency outside of the normal process. Process Check/Claim Adjustments; including by not limited to: stop pays, voids, refunds. Complete End of Contract group check runs within defined time parameters. Follow all policies and procedures established for the department. Develop and maintain excellent working relationships with all internal and external contacts. Assist co-workers as needed in reaching department goals. Understand and appreciate the need for a sense of urgency and accuracy with all work activities. Meet and/or exceed all defined performance expectations at an individual and department level. Identify and recommend ideas for continued automation for client efficiencies. Other duties as assigned. Knowledge / Skills / Abilities High degree of accuracy. Analytical problem solving skills. Excellent written and verbal communication skills. Exhibits a positive, service oriented attitude. Excellent data entry skills. Proficiency using the Microsoft Office products, primarily Excel and Access. Working knowledge of FTP and experience reading EDI files. Excellent customer service skills. Ability to function as a team player and provide assistance to management and other MBS staff as required. Ability to practice discretion when dealing with confidential personal health information and other sensitive information. Ability to work with minimal supervision. Knowledgeable of Third Party Administration concepts and philosophies. Ability to identify areas which put MBS and/or our client financially at risk. Credentials and Experience High school diploma or equivalent required; prefer some secondary education Exposure to finance and/or accounting principles. Understanding of data exports. indeed/cmp/MedCost,-LLC/jobs/Funding-Coordinator-6a8253a822aad25c
Posted on: Thu, 22 Jan 2015 01:04:18 +0000
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