· Review charges for completeness and visually examine charges for missing information· Accurately enter patient demographic and insurance information· Accurately enter charge detail including diagnosis codes, procedure codes, doctor and hospital codes· Accurately balance batch of work· Filing batches in designated area and in correct order· Completing error reports generated by the system at least once a week· Meeting daily, weekly and monthly deadlines

· Analyzes contracted rates to assist with determining appropriate rates for provider contracts. Coordinates with Actuaries and Underwriting to determine how contracted rates will impact appropriate regions.· Analyzes payer value based contract opportunities, including pay for performance, population health, gain or risk sharing, bundled payments, and other emerging payment models to support the organizations drive toward alternative payment models. · Prepares monthly contract performance results and related financial reporting including interpretation and recommendations for improvement.· Works on various projects related to the analysis of claims, clinical and financial data, with a focus on improvement of financial and/or clinical outcomes.· Will help in creating a master Provider contract methodology template· Performs other duties as assigned.

• Create, process and send out invoices (high volume of approximately 1000 per month)• Utilize spreadsheets with simple formulas• Utilize JD Edwards• Handle the billing for the commercial accounts• Correspond on the phone and through email with the account managers

Biller for Skilled Nursing Facilities. Making those insurance companies pay!

Preparing & distributing timely & accurate invoices from any of the JFSA billing systemsPosting payments associated with client invoicingBeing a backup to the Cash Poster positionCollecting on open client balances including commercial insurance, self pay & entitlement programs

Production Reporting: compiling and interprets shop floor data and keys the data into the production database. The function includes research and audit of the data to ensure accuracy. Finished Goods and Board Accounting: This position is required to perform standard check and balance audit procedures surrounding FG and board inventories. The position is responsible for transacting in transit board inventories and coordinating FG inventories.

* Client billing, reporting, posting payments, preparing deposits* Carry out various projects including: member reconciliation, courtesy calls, filing, creating spreadsheets, etc.* Assist members with questions & concerns regarding their account* Handle CTM's that come in from Medicare