Operations Accounting-OPS – Coordinator II

Operations Accounting-OPS – Coordinator II

Requirements

• 2 years HRP claims processing or customer service experience
• SCM system
• ASD
• Experience in a production environment
• Self-starter
• Works well independently
• Works well in a group setting
• Exhibits all Heart at Work Behaviors
• Demonstrated ability to handle multiple assignments competently, accurately and efficiently
• Adapts well to change
• Time management skills
• Microsoft Office Products – Outlook, Word, Excel
• Provider services – processing or phone background.

Responsibilities

• Review refund checks from providers and/or members to determine if a claim is overpaid
• Choose detailed reason for overpayment
• Add information into the overpayment tracking system (OPT)

Preferred Qualifications

• Flexibility in daily tasks
• Quick Learner
• ACAS Provider Contract – ability to read and interpret
• Willingness to work overtime, when needed
• Positive Attitude
• Understanding of claim payments