Claims Support Associate II - Payment Poster

CareCentrix; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Claims Support Associate II to join their dynamic team. In this pivotal role, you will be responsible for payment reconciliation and act as a liaison between claims processing and accounting. Your expertise in billing and reimbursement will be crucial as you develop billing formats, review payer rules, and ensure accurate invoicing. This is an exciting opportunity to make a significant impact in a growth-oriented organization. Join a culture that values community and offers competitive benefits, advancement opportunities, and a supportive work environment where you can thrive.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401K Savings Plan

Paid Parental Leave

Tuition Reimbursement

Corporate Bonus Plan

Generous PTO

Walgreens Discount

Professional Skills Training

Qualifications

• 5+ years of billing experience with cash posting and claims processing.
• Strong knowledge of MS Excel and excellent communication skills.

Responsibilities

• Develop and deliver billing formats to payers and ensure accurate invoicing.
• Process payments and resolve billing discrepancies effectively.

Skills

Billing and Reimbursement Experience

Customer Service

Analytical Skills

Communication Skills

Problem-Solving Skills

Detail Oriented

Education

High School Diploma or Equivalent

Tools

MS Excel

Unity System

Job description

Overview

Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.

As a Claims Support Associate II you will establish and maintain payment reconciliation within the Payroll/Billing system. Act as a liaison between Claims processing and Accounting to implement proper payment requirements. You will provide training to staff on new payers as well as modifications to formats of existing payers.

Responsibilities

In this role, you will:

• Develop, implement and deliver appropriate billing formats to prospective payers.
• Review specific billing, pricing and coverage rules of a payer during contract negotiations. Ensure all information received is accurate and complete to mitigate risk of lost revenue as a result of the billing process.
• Create accurate and correctly formatted invoices. Maintain all payer rate tables for local and regional payers. Address, resolve data input and billing issues.
• Process and reconcile payments using 835 remittance files, and post payments accurately.
• Review EOBs and remittance advice to ensure accurate posting and follow up on discrepancies.
• Resolve denials, underpayments, and aged claims.

This is the role for you if:

• You want to be part of something bigger—make an impact in a growth organization.
• You have excellent research and interpersonal skills.
• You demonstrate outstanding customer service.

Qualifications

You should get in touch if you have:

• High school diploma or the equivalent.
• A minimum of 5 years of billing and/or reimbursement experience, specifically cash posting. Unity system experience preferred.
• Must have experience posting payments and resolving denials via 835/EOB/EOP, collecting and/or posting payments, and processing claims/bills/invoices.
• Strong MS Excel knowledge.
• Excellent communication (verbal/written), analytical, problem-solving and interpersonal skills.
• Ability to manage multiple tasks, are detail oriented, responsive, and demonstrate independent thought and critical thinking.
• You are fun to work with! We take our commitment to patients seriously, but we don't take ourselves seriously.

What we offer:

• Competitive Salary Range: $17-22/hour plus Corporate Bonus Plan
• Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match
• Generous PTO, 401K Savings Plan, Paid Parental Leave, and more
• Advancement Opportunities, professional skills training, and tuition reimbursement
• Walgreens Discount - receive up to 25% off eligible items
• Great culture with a sense of community

CareCentrix maintains a drug-free workplace.

We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.

CareCentrix accepts applications on an ongoing basis until a candidate is identified.