26 ago
|
INMAR INTELLIGENCE
|
Xico
26 ago
INMAR INTELLIGENCE
Xico
This role is office-based in Mexico.
The role requires professional fluency in English (spoken and written).
Position Summary: Under the general supervision of the Operations Supervisor, the A/R Administrator, PFM A/R performs detailed level process and account analysis based on the client(s) in which they are assigned in order to provide reconciliation services to our pharmacy clients.
Duties include researching and resolving unapplied cash and collaborating with Client Experience partners to ensure client needs are met timely and accurately.
Primary Accountabilities: Operational (60%) Review unapplied checks daily and escalate issues that cannot be resolved within specified deadlines Internally and externally document efforts to resolve unapplied cash Research and request missing remittance via online portals, working with the Payer Relations Team to secure electronic remittance, or contacting the insurance carrier to request paper remittance Process remittance received in order to create payment batches for association Resolve payment batch exceptions Analytical (30%) Perform trending analysis of unapplied cash and provide actionable recommendations to leadership, operations and account teams Complete research, trending and analysis in order to accurately identify which open checks can be manually associated to available payment batches Use root cause analysis to identify and resolve issues Administrative (10%) Follow HIPAA policies and procedures per company guidelines Participate in required and targeted departmental trainings, which may include (but are not limited to) AI, finance, systems, compliance, and process improvement initiatives Complete ongoing learning and development activities that evolve year-over-year to support departmental, organizational,
and industry changes Required Qualifications: High School Diploma/GED 1-2 years of related work experience and/or any equivalent combination of experience and training that provides the required knowledge, skills, and abilities needed to complete the major responsibilities/essential functions of the position.
Proficient in Microsoft Windows and Google Office Suite Competent in Microsoft Office Excel and Adobe Individual Competencies: Analytical and Critical Thinking Ability to tackle problems using a logical, systematic, and data-driven approach, including the evaluation of trends, financial impacts, and process outcomes.
Adaptable Responds to change with a willingness to learn new tools, technologies, processes, and ways of working as business needs evolve.
Teamwork Builds relationships and works cooperatively with others, inside and outside the organization, to achieve shared goals and maintain mutually beneficial partnerships.
Communication Clearly gives and receives information in written, verbal, and visual formats to ensure understanding, alignment, and effective execution.
Curiosity and Continuous Learning (expanded) Demonstrates a strong desire to learn and explore new concepts, including emerging technologies such as AI and machine learning, financial principles, and process efficiencies.
Actively seeks opportunities to apply new knowledge to improve accuracy, efficiency, and outcomes.
Problem Solving Gathers, analyzes, and evaluates information to develop effective solutions while weighing accuracy, relevance, and potential financial or operational impact.
Collaboration Works collaboratively across teams and functions to drive improvements, share insights, and support operational and analytical excellence.
Efficiency
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