Employers Direct Corporation jobs

An entry or mid-level accounting professional who is responsible for maintaining financial records in conjunction with the remainder of the accounting team. Responsibilities: * Prepare journal entries * Assist with client reporting and invoicing * AR and AP management * Support month-end and year-end close * Prepare account reconciliations * Research and correct account discrepancies * Answers accounting and financial questions by researching and interpreting data * Accomplish accounting and organization mission by completing related results as needed Primary requirements: * Bachelor's degree in accounting, finance or a related field * Knowledge of basic accounting procedures and financial accounting statements * Well versed in use of MS Office, particularly Excel and Word * Attention to detail with aptitude for numbers and quantitative skills * Strong organizational and communication skills * High level of professionalism and discretion when handling confidential information Benefits * Medical Insurance * Dental Insurance * Vision Insurance * Short & Long Term Disability * Life Insurance * 401k with company match * Paid Time Off * Paid Parental Leave

Our Reimbursement Specialists are a central points of contact for our provider network. The primary responsibility of the role is to deliver effective, accurate payment and communication to our providers. The day-to-day responsibilities of our Reimbursement Specialists include payment processing, researching, accurate billing/payment disbursement, and ensuring payment data accuracy and integrity. The desired candidate is articulate, empathetic, pragmatic, self-starting and ambitious. In addition, our Reimbursement Specialists are horizontal thinkers, analytical, organized and detail oriented. Key Responsibilities: * Processes provider payments in accordance with company policies and procedures. * Serves as primary contact to Finance Department regarding payment, determinations and payment processing activities. * Assist in the final determination on claim disposition and payment determination. * Serves as liaison to internal departments regarding provider related inquiries on claims related content. * Processes adjustments or provider disputes providing timely follow-up. * Coordinates research and responds to system inquiries from providers regarding payment, reimbursement determination, provider contact information and claims billing procedures. * Communicates with supervisor on a daily and/or weekly basis regarding any outstanding claims issues related to system, authorizations, reimbursement/payment errors or internal approvals. * Works with provider contracting staff when new/modified reimbursement contracts are needed * Performs pre-adjudication claims reviews to ensure proper terms and schedules were used. * Initiate necessary actions regarding pending claims or payment documentation. * Follow up on open items reports to timely and accurate resolution. * Respond proactively to provider issues and concerns and give feedback to management. * Provide feedback to the manager regarding proper claims billing procedures in accordance with company policy and procedures. * Assist in training new Payment Specialists. * Initiate change requests to resolve system issues impacting claims/payment processing or issue resolution * Runs and analyzes daily activity reports. * Analyze, develop and deliver claims resolutions quickly and accurately according to company policies and procedures. Requirements: * Minimum Bachelor's degree in healthcare, business, marketing or related field; or HS Diploma (or GED) and 4 years' applicable experience * Minimum 2 years of experience in previous claims, health insurance or healthcare practice * Knowledge of medical coding systems (i.e., CPT, ICD-9/10, revenue codes) preferred * Knowledge of commonly used medical data resources preferred * Knowledge of payor contracts and interpretation * Knowledge of general office operations and/or experience with standard medical insurance claim forms preferred * Strong communication (verbal, written and listening), teamwork, negotiation and organizational skills * Ability to commit to providing a level of customer service within established standards * Ability to provide attention to detail to ensure accuracy including mathematical calculations * Ability to organize workload to meet deadlines and participate in department/team meetings * Ability to analyze data and arrive at a logical conclusion * Ability to identify issues and determine appropriate course of action for resolution * Ability to display professionalism by having a positive demeanor, proper telephone etiquette and use of proper language and tone * Ability to use software and hardware related to job responsibilities, including MS Office Suite and database software * Ability to work with accuracy in a fast-paced environment * Ability to work independently and handle PHI and confidential information * Ability to process detailed verbal and written instructions * Individual in this position must be able to work in a traditional office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone Benefits: * Medical Insurance * Dental Insurance * Vision Insurance * Short & Long Term Disability * Life Insurance * 401k with company match * Paid Time Off * Paid Parental Leave