This position is responsible for coordinating all claims payment and billing clients per assigned contracts.
Summary of Role and Responsibilities
Generates and prepare check run related to claims approved in AI via the Mag System
Analyzes, separate and prepare claims for payment
Records all AP and AR entries in ACCPAC
Generates AR batch in ACCPAC as it relates to claims paid
Compiles supporting documents and prepare summary invoice and submit to client for payment
Applies remittance receive from clients including overpayment from providers and members
Communicates sent to Ops and Claims any issues as it affects claims payment and billing clients
Responds to client billing and statement inquires
Makes recommendations to management for write-offs.
Contacts clients regarding outstanding balances.
· Being able to effectively challenge every area of the organization in a productive way
· Producing meaningful analysis from data from all areas of the business
· Partnering with Commercial team to use strategic pricing methods as a differentiator to win new business
Education, Experience, and Knowledge / Skills / Abilities
Minimum Education Requirements:
One year certificate from college or technical school
Three to six months' related experience and/or training; or equivalent combination of education and experience.
Knowledge, Skills, and Abilities
Intermediate knowledge of Excel
Accounting Software knowledge
Preferred Education, Knowledge, Skills and Abilities:
Working knowledge of ACCPAC
Work is performed within an office environment, with standard office equipment available.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit for extended periods of time; use hands to finger, handle, or feel the computer; reach with hands and arms and talk or hear. The employee must occasionally lift and/or move up to 25 pounds.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
NOTE: AXA participates in the E-Verify program.
In addition to competitive compensation and an outstanding benefits package including 401 (k) and medical programs, we offer the opportunity for continued professional development in a congenial corporate environment.
AXA is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national origin, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.
Location: Chicago, IL
AXA is a leading financial protection company, committed to fostering and maintaining a diverse, multicultural and inclusive environment, and one of the nation’s premier providers of life insurance and annuity products. The organization was established in 1859 and we are committed now more than ever to helping clients meet financial goals in all stages of their lives. One of the hallmarks of our proud heritage is providing world-class customer service.
We're always looking for smart and talented people to help us develop new and innovative ways to expand our product portfolio, reach new customers and serve well the clients already a part of the AXA family.