Claims Finance Specialist - Contract to Hire

Careington International Corporation; Frisco (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Careington International Corporation in Frisco, TX seeks an organized Accounts Receivable Associate to support client funds, invoicing, and reconciliations.

You will collaborate with Finance, handle voids, refunds, and recoupments, and assist with escalated complaints; strong MS Office skills required. Ideal candidates have at least 2 years admin experience and an Associate degree or equivalent.

Qualifications

• Advanced MS Office skills (Adobe, Excel, Word, Outlook) required.
• Accounts Receivable, Audit, Claims Payment and/or Revenue Cycle Management experience.
• Minimum 2-year administrative office experience.
• Associate degree or equivalent combination of education and experience preferred.
• Claims Processing background preferred.

Responsibilities

• Submit requests for funds (RFFs) for clients as scheduled.
• Submit client invoices.
• Collaborate with Finance to reconcile client funding accounts.
• Provide low-balance client account information to Account Management.
• Assist with voids, refunds, and recoupments from overpaid claims.
• Assist with the resolution of escalated complaints and appeals (DOI, OIG, OIC, BBB).
• Process first submission claims requiring readjudication.
• Audit provider accounts to confirm open receivables and payables.
• Communicate balances to providers or internal provider relations team.

Skills

Strong mathematical skills

Finance and bookkeeping basics

Highly organized

Self-motivated and independent

Education

Associate degree or equivalent

Tools

Adobe

Excel

Word

Outlook

Job description

Key Responsibilities

• Submission of request for funds (RFFs) for clients based on schedule or delivery.
• Submission of client invoices.
• Work collaboratively with Finance for the reconciliation of the clients funding accounts.
• Provide low balance client account information to the Account Management team.
• Assist with voids, refunds, and recoupments from overpaid claims.
• Assist with the resolution of escalated, DOI, OIG, OIC, and BBB complaints and appeals.
• Process first submission claims requiring re-adjudication.
• Audit provider accounts to confirm open receivables and payables and effectively communicate

balances either directly to the provider or to an internal provider relations team member.

Expected Work and Performance

• Submission of request for funds (RFFs) for clients based on schedule or delivery.
• Submission of client invoices.
• Work collaboratively with Finance for the reconciliation of the clients funding accounts.
• Provide low balance client account information to the Account Management team.
• Assist with voids, refunds, and recoupments from overpaid claims.
• Assist with the resolution of escalated, DOI, OIG, OIC, and BBB complaints and appeals.
• Process first submission claims requiring re-adjudication.
• Audit provider accounts to confirm open receivables and payables and effectively communicate

balances either directly to the provider or to an internal provider relations team member.

Qualifications

Required

• Advanced computer skills and experience with MS Application – Adobe, Excel, Word, Outlook is required.
• Accounts Receivable, Audit, Claims Payment and/or Revenue Cycle Management experience.
• Minimum 2-year administrative office experience.

Preferred

• Associate degree or equivalent combination of education and experience.
• Claims Processing Background.

Skills

• Strong mathematical skills.
• Understanding basic principles of finance, accounting, or bookkeeping.
• Extremely organized with the ability to effectively manage multiple tasks.
• Self-motivated and the ability to work independently with minimal supervision