This is a fully remote position, open to applicants in Mississippi, +1 more state.

📋 Description

• Process payments for medical and pharmacy claims from both paper and electronic Explanation of Benefits (EOBs) on a daily basis.

• Reconcile accounts receivable and address any discrepancies or posting errors.

• Detect, analyze, and rectify errors related to claim postings and payments.

• Engage in meetings with client stakeholders to gather and document requirements while exploring potential solutions.

• Analyze and document client business requirements and workflows in accordance with established methodologies.

• Convey business requirements to technical teams.

⛳️ Requirements

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related discipline; OR 3–5 years of experience in medical claims posting and reconciliation.

• Strong understanding of medical and pharmacy claims adjudication as well as Medicaid reclamation claims.

• Proficient in SQL with the ability to extract and analyze data from relational databases.

• Familiarity with PeopleSoft Finance or similar enterprise financial systems.

• Exceptional critical thinking and problem-solving abilities; capable of troubleshooting independently.

• Experience utilizing FTP protocols and secure file transfer methods.

• Outstanding written and verbal communication skills.

• Keen attention to detail and strong organizational abilities.

• Video cameras must be utilized during all interviews and the first week of orientation.

• Stable internet connection and a quiet environment for screenings, interviews, and meetings.

• Video capability is required for screenings and interviews.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Technical credentials and certifications.

• Generous and flexible vacation policy.

• Educational assistance programs.

• Leadership and technical development academies.

• 401(k) employer matching.

• Comprehensive health benefits.