Description/Comment: 2 Temps Needed - Cash/Claims Processor
Brand: Eyemed
Hours: M-F (40 hours)
Start Date: ASAP
Duration: 6 months
Hybrid - Mason OH (2-3x in the office)
Training onsite for 2-3 weeks
Missing equipment fee of $2k will be charged if equipment is not returned.
Brief Description of Work: Utilize claims processing experience to audit claims that have been denied or partially paid, utilizing internal tools, EOPs and external payer websites. Identify missing or inaccurate information for claims that could be resubmitted for payment
Reason for request: FE Claim clean up and enrich data as received by the stores in order to improve collection
GENERAL FUNCTION: Research and apply insurance payments from clients to the appropriate system invoice. Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. Continuously improve methods for research and in order to effectively and efficiently process transactions. MAJOR DUTIES AND RESPONSIBILITIES: Process transactions apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards. Communicate with supervisor regarding transactions processed in a timely manner. Identify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes. EXPERIENCE: Working knowledge of mainframe computers and systems in general, ie: AS400. Understands third party benefits and administration. Minimum keystrokes per hour requirement of 10,000 with less than 2% error rate. High level of detail orientation. Flexibility working in both a team and individual environments. Proficient in Microsoft Excel applications. Understand and honor high level of confidentiality. Promote integrity. Strong work ethic. EDUCATION High school degree required Bachelor's degree in Business preferred.
EYEMED ONLY: As part of your contractor's compliance while working in the EyeMed department, the OIG/GSA/OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to LUXOTTICATEMPS@kellyocg.com by the 4th of each month and we again ask that you house each file internally for auditing purposes. EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings). Screenshots of completed training is required during 1st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training (3 for Compliance purposes and 3 for HiTrust / Security requirements) is required during first 3 weeks and completed passport to be sent to manager, supplier and Contatti@luxotticaretail.com) Start Time: 12:00 AM Hours: 8:00am to 5:00pm Location: CINCINNATI SERVICE CENTER 4000 LUXOTTICA PL MASON OH 45040 Education: Additional Job Details: 2 Temps Needed - Cash/Claims Processor Brand: Eyemed Hours: M-F (40 hours) Start Date: ASAP Duration: 6 months Hybrid - Mason OH (2-3x in the office) Brief Description of Work: Utilize claims processing experience to audit claims that have been denied or partially paid, utilizing internal tools, EOPs and external payer websites. Identify missing or inaccurate information for claims that could be resubmitted for payment Reason for request: FE Claim clean up and enrich data as received by the stores in order to improve collection EYEMED ONLY: As part of your contractor's compliance while working in the EyeMed department, the OIG/GSA/OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to LUXOTTICATEMPS@kellyocg.com by the 4th of each month and we again ask that you house each file internally for auditing purposes. EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings). Screenshots of completed training is required during 1st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training (3 for Compliance purposes and 3 for HiTrust / Security requirements) is required during first 3 weeks and completed passport to be sent to manager, supplier and Contatti@luxotticaretail.com)