Wednesday, 4 December 2013

Job: Third Party Insurance Processor

Job details

 
Job 1 of 1
      
Job TitleThird Party Insurance Processor
External Job PostingShopko is a $3 Billion company with over 18,000 teammates. In the retail and retail health business for more than 50 years, we have over 300 stores in 21 states.  Shopko continues to grow, while maintaining our hometown feel.
 
We serve our communities by providing distinctive name-brand & value apparel, home decor, family basics, and seasonal merchandise and top-quality pharmacy and optometric services.
 
Shopko is made up of three types of Shopko stores, providing quality name-brand merchandise, great values, pharmacy and optical services in small to mid-sized cities.
• “Shopko” stores are multi-department retail stores committed to offering quality merchandise, services and value to meet customers' needs for home, family basics, casual apparel and seasonal products, with a special emphasis on retail health.
• “Shopko Express Rx” stores are convenient neighborhood drugstore concepts.
• “Shopko Hometown” stores, a smaller concept of the larger Shopko Store, are designed to meet the needs of smaller communities.
 
A career with Shopko provides you with:
• A foundation of satisfied and loyal customers
• Pragmatic, supportive and accessible leadership
• Variety, stability and autonomy
 
We are proud to offer:
• A company wide combined effort to succeed
• A creative, resourceful and synergistic atmosphere
• A culture that upholds the value and respect of each individual
• Career development opportunities and clear paths for advancement
• A collaborative energy that sustains our passion for what we do every day
 
POSITION SUMMARY:
As a Third Party Insurance Processor- Medicaid you will be responsible for applying payments on outstanding third party receivables and following up on any unpaid claims or late payments.  Logging reconciliation information so that timely follow up can be completed with payers.
 
DUTIES & RESPSONSIBILITIES:

 
Claims Processing
• Apply third party checks to receivables in a timely manner
• Respond promptly and professionally to mail, email, and phone inquiries from payers
• Download and run remittances files provided by third party payers
 
Claims Reconciliation 
• Research unpaid or underpaid claims
• Collect and apply payments to claims in a timely manner
• Maintain a log of reconciliation information in Excel
 
MINIMUM KNOWLEDGE, EXPERIENCE & SKILL REQUIREMENTS:    
• High school diploma
• 2+ years Health Services business experience
• Attention to detail
• Excellent oral & written communication skills
 
If you are accessing this posting from another website, please submit an application at www.shopko.com/careers
 
Shopko is an Equal Opportunity Employer functioning under an Affirmative Action Plan m/f/d/n
StateWisconsin
CityGreen Bay
      
Shopko is an Equal Opportunity Employer M/F/D/V.
Employee Rights & Responsibilities - Family & Medical Leave Act: click here
Minnesota - Contractor Non-Discrimination Law: click here
E-Verify Notice (Utah Applicants): click here

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