Billing Operations Associate

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πŸ”₯ 1 hour ago

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Dayforce

5001 - 10000 employees

πŸ‘₯ HR Tech

☁️ SaaS

🏒 Enterprise

πŸ’° $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech β€’ SaaS β€’ Enterprise

Dayforce is a cloud-based human capital management (HCM) platform developed by Ceridian. It provides integrated HR, payroll, time and attendance, workforce management, benefits, and talent management capabilities in a single SaaS application aimed at employers and HR teams. Dayforce is used by organizations to streamline payroll and workforce processes, improve compliance, and manage the employee lifecycle.

πŸ“‹ Description

β€’ Ensure accurate, compliant, timely billing and appropriate reimbursement for all professional vision or medical exams and vision material services. β€’ Prepare and submit clean claims to various insurance companies either electronically or by paper. β€’ Analyze and correct first pass rejected claims for completeness and accuracy of information for second pass clean claim submission. β€’ Research and perform all primary and secondary billing claim status follow up activities for assigned insurance plans. β€’ Review, evaluate and process all claim appeals through resubmission to insurance carriers with complete and accurate supporting documentation required. β€’ Research and recommend any third party customer account adjustments and/or write-offs to Manager based upon collectability of account. β€’ Support and assist store associates with ensuring all proper customer demographic and authorizations are present for clean claim submittal to insurance carriers. β€’ Recognize and report claims problems, errors, and discrepancies to management.

🎯 Requirements

β€’ High School Diploma, GED, or equivalent work experience β€’ Zero to one (1) years of experience in medical insurance claims billing preferred β€’ Proficient in MS Excel and Word. β€’ 10-Key by touch. β€’ Well-developed verbal, listening and phone communication skills β€’ Good written communication skills with the ability to write routine correspondence β€’ Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. β€’ Ability to define problems, collect data, establish facts, and identify trends. β€’ Ability to exercise good judgment and escalate issues appropriately.

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