Sr Reconciliation Rep (Remote, $17/hour) ID-14294
American Specialty Health Incorporated is seeking a Sr Reconciliation Representative to join our Reconciliation department. This position will reconcile claims, including complex claims, for payment as per Explanation of Benefits from Health Plan Payors for 2-step accounts.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Remote Phone Job, $40/hr, No Degree, College Student Friendly Phone Job, $50/hr, Remote, No Degree, Part-Time, Weekend Remote Moderator, $40/hr, Weekend, No Degree, Part-Time Remote Moderator, $42/hr, College Student, Weekend Job Virtual Assistant, $50/hr, Remote, Part-Time, Evening Job Entry-Level Remote Data Entry, $50/hr, Evening Job Virtual Assistant, Remote, $45/hr, Evening, No Experience Remote Data Entry, $40/hr, No Degree, Weekend, Night Job Remote Phone Job, $40/hr, Night Shift, College Student Friendly Customer Support, $35/hr, Remote, Evening/Night Job, No Degree Virtual Assistant, Remote, $40/hr, Weekend, No Experience Remote Phone Job, $45/hr, Part-Time, No Degree Required Virtual Assistant, $40/hr, Remote, Weekend, No Degree Remote Live Chat, $40/hr, Weekend, No Degree, Part-Time Customer Support, $42/hr, Weekend Job, Remote, No Degree Customer Support, $35/hr, Remote, Evening/Night Job, No Degree Virtual Assistant, $42/hr, Remote, No Experience, Evening Entry-Level Remote Data Entry, $35/hr, Evening Job Entry-Level Remote Data Entry, $50/hr, Evening Job Data Entry, $50/hr, Remote, Evening Job, College Student Remote Live Chat, $40/hr, Part-Time, No Degree Required Phone Support, $45/hr, Remote, No Experience, Evening Job Remote Live Chat, $50/hr, Part-Time, Evening/Night Job Live Chat Support, $40/hr, Weekend, Remote, No Degree Phone Support, $40/hr, Remote, No Experience, Evening Job Virtual Assistant, Remote, $35/hr, Part-Time, Night Shift Remote Phone Job, $50/hr, College Student, Night Shift Virtual Assistant, No Experience, $42/hr, Remote, Part-Time Data Entry, $50/hr, Night Shift, No Degree, Remote Job Virtual Assistant, $50/hr, Weekend, No Degree, Remote Remote Moderator, $40/hr, Weekend, No Degree, Part-Time Data Entry, $50/hr, Night Shift, No Degree, Remote Job Remote Phone Job, $45/hr, Part-Time, No Degree Required Virtual Assistant, No Experience, $42/hr, Remote, Part-Time Weekend Data Entry, $40/hr, Remote, No Experience Data Entry, $50/hr, Night Job, No Degree, Remote Remote Moderator, $42/hr, Weekend, No Experience Required Part-Time Data Entry, $45/hr, Remote, College Student Friendly Remote Customer Support, $42/hr, Weekend, No Experience Phone Job, $40/hr, Remote, Night Shift, No Degree Customer Support, $42/hr, Remote, Part-Time, No Degree Remote Phone Job, $40/hr, No Degree, College Student Friendly Remote Data Entry, $35/hr, No Experience, Evening/Night Job Remote Customer Support, $45/hr, Part-Time, College Student Virtual Assistant, No Experience, $42/hr, Remote, Part-Time Remote Phone Job, $42/hr, Part-Time, No Experience Required Data Entry, $45/hr, Remote, Night Job, No Degree Data Entry, $45/hr, Remote, Night Job, No Degree Part-Time Customer Support, $40/hr, Remote, College Student Customer Support, $42/hr, Remote, Part-Time, No Degree Remote Moderator, $40/hr, College Student, Weekend Job Remote Moderator, $40/hr, Weekend, No Degree, Part-Time Remote Phone Job, $40/hr, Night Shift, College Student Friendly Customer Support, $50/hr, Night Job, Remote, No Experience Remote Data Entry, $40/hr, Part-Time, College Student Job Weekend Data Entry, $45/hr, Remote, No Experience Virtual Assistant, $50/hr, Weekend, No Degree, Remote Data Entry, No Degree, $40/hr, Part-Time, Remote Job Remote Data Entry, $40/hr, Part-Time, College Student Job Data Entry, $40/hr, Part-Time, Remote, Weekend Job Phone Job, $35/hr, Remote, No Degree, Part-Time, Weekend Remote Moderator, No Degree, $50/hr, Evening, Weekend Job Data Entry, $45/hr, Remote, Evening, No Experience Required Virtual Assistant, $45/hr, No Experience, Remote, Night Job Customer Support, $50/hr, Remote, Evening/Night Job, No Degree Virtual Assistant, $42/hr, Evening, Remote, No Degree Data Entry, $50/hr, Night Shift, No Degree, Remote Job Remote Data Entry, $35/hr, No Experience, Evening/Night Job Remote Customer Support, $40/hr, No Degree, Evening Job Part-Time Customer Support, $40/hr, Remote, College Student Remote Live Chat, $40/hr, College Student, No Experience Phone Support, $50/hr, Weekend, Remote, No Experience Remote Customer Support, $40/hr, Part-Time, College Student Remote Phone Support, $45/hr, Evening, No Experience Required Virtual Assistant, $40/hr, Remote, Weekend, No Degree Remote Moderator, $45/hr, No Degree, Weekend Job, Part-Time Remote Phone Job, $42/hr, Part-Time, No Experience Required Virtual Assistant, $40/hr, Remote, No Experience, Evening Remote Phone Job, $40/hr, Night Shift, College Student Friendly Remote Customer Support, $45/hr, No Experience, Part-Time Remote Customer Support, $40/hr, No Experience, Part-Time Remote Moderator, $42/hr, Part-Time, Weekend, No Degree Remote Live Chat, $40/hr, Weekend, No Degree, Part-Time Data Entry, $50/hr, Night Job, No Degree, Remote Evening Virtual Assistant, Remote, $45/hr, No Experience Remote Moderator, $35/hr, No Degree, Weekend, Part-Time Phone Support, $35/hr, Weekend, Remote, No Experience Live Chat Support, $35/hr, Remote, Night Shift, No Degree Virtual Assistant, Remote, $42/hr, Weekend, No Experience Phone Support, $35/hr, Weekend, Remote, No ExperienceResponsibilities
?? Reconciles, resolves, and researches 2-step claims and payments to ASH.
?? Manually reconciles claims for payment from Health Plan Payors received by paper EOBs or spreadsheets.
?? Makes calls to Health Plans to check status of claims which may include payment or underpayment. In addition will request claims to be reprocessed if denied in error.
?? Uses Health Plan and TPA websites to check on claim status or reconcile claims.
?? Reconciles claims from various reports including but not limited to 14-day reports, aged reports, unreconciled reports, and rejected reports.
?? Notifies supervisors of trends related to invalid denials by TPAs or Health Plans.
?? Documents comments in internal notes fields in IHIS in addition to spreadsheets being worked.
?? Reviews and responds to ASHCore logs within 48 hours of assigned date.
?? Meets department production and quality requirements.
?? Maintains confidentiality of all claims documents, records, and claims related issues.
?? Promotes a spirit of cooperation and understanding among all personnel.
?? Attends organizational meetings and trainings as required.
?? Attends department meetings.
?? Adheres to organizational policies and procedures.
?? Recognizes unique and/or problem situations within area of assigned responsibility. Researches and makes recommendations to Supervisor.
?? Provides assistance and teamwork to Claims Department staff in accomplishment of routine duties and special projects.
Qualifications
?? High School diploma required.
?? 2 to 3 years with claims processing, computer, typing, 10 key and telephone skills preferred.
?? Knowledge of Microsoft Word and Excel helpful.
?? Familiarity with Managed Care, HMO, PPO health plan provisions.
?? Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
Core Competencies
?? Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
?? Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
?? Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
?? Ability to effectively organize, prioritize, multi-task and manage time.
?? Demonstrated accuracy and productivity in a changing environment with constant interruptions.
?? Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
?? Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) environment.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company??s legal duty to furnish information.
