Associate Processor Job Description
Associate Processor Duties & Responsibilities
To write an effective associate processor job description, begin by listing detailed duties, responsibilities and expectations. We have included associate processor job description templates that you can modify and use.
Sample responsibilities for this position include:
Associate Processor Qualifications
Qualifications for a job description may include education, certification, and experience.
Education for Associate Processor
Typically a job would require a certain level of education.
Employers hiring for the associate processor job most commonly would prefer for their future employee to have a relevant degree such as High School and Bachelor's Degree in Finance, Education, Business/Administration, Management, Technical, Communications, English, Journalism, Business, Accounting
Skills for Associate Processor
Desired skills for associate processor include:
Desired experience for associate processor includes:
Associate Processor Examples
Associate Processor Job Description
- 1 Week of shadowing
- Communicating with the MLO, borrower, on any items needed for the loan
- Ability to take personal ownership for meeting/exceeding all Key Performance Indicators quality standards
- Ability to organize, analyze and investigate complex claim submissions independently
- Individuals should have strong analytical and decision making skills in order to make accurate claim payment determinations with minimal supervisor intervention
- Analysts must have the ability to use multiple computer systems simultaneously with ease
- Helps with additional projects and tasks related to Global Revenue Operations as they arise
- Ability to focus on the desired result of one's own or one's unit's work, setting challenging goals, focusing effort on the goals, and meeting or exceeding them
- Review and adjudication of clean claims
- Reviews claim for eligibility and appropriate authorization
- Must have some basic understanding of accounting
- 3-5 years background in a Financial Institution � 1-2 years of Shaw knowledge � 1-2 years working in collateral vault � Working knowledge of titles for all 50 states
- This position is to be part time (20 hr/week) which is important for the mail area peaks and valleys
- Five or greater years of experience as an administrative assistant in a professional services or accounting environment
- Exercise a high degree of technical competence and office administration ability
- Able to work flexible hours and schedule including some Saturday’s based upon project work and peak busy times (weeks of 3/15, 4/15, 9/15 and 10/15)
Associate Processor Job Description
- Reviews claim for financial responsibility
- Route claims appropriately to other departments and organizations
- Meets and/or exceeds all established production and quality standards
- Adheres to LMCHP’s Service of Excellence Program guidelines and requirements
- Complies with LMCHP’s policies and procedures,maintains confidentiality and sensitivity of patient information, and company-related business, in accordance with company, state, and federal laws
- Enters incoming or suspended claims into appropriate computer databases
- Ensures that the proper benefits are applied to each claim by using the appropriate processes and procedures
- Completes, on a daily basis, all data entry required to document and communicate the status of claims
- Learns from and leverages routine or repetitive transactions to continuously improve accuracy and efficiency
- Meets or exceeds established goals for customer satisfaction and attendance
- Formal education or equivalent – Associate’s degree or equivalent from two-year college or technical school desired
- Flexible to travel based on need
- Ability to lift heavy boxes, files and/or paper when needed, which may be up to 55 lbs
- Must be able to work in the Chicago, IL office location
- Must be able to work in the Chicago, IL location
- Must be able to work in our downtown Chicago, Il location
Associate Processor Job Description
- Work closely with internal customers, payers, assistance programs and others involved to ensure members are receiving the correct payments
- Contacting internal partners to inform them of payment concerns, obtain additional information if requested, and resolve payment issues
- Working payment batches through completion-ensuring correct payments are applied in a timely manner
- Responding to inquiries from internal and external sources regarding payment application and customer account balances
- Utilizing Access databases to record information, pull reports, and address account issues
- Provide support for submitting medical billing teams on claim payments and addressing overpayments and incorrect partial payments received
- Posting customer and 3rd party payments to the customers’ accounts
- Reconciling any payment discrepencies and potential account fall out
- Work closely with internal customers, physicians, assistance programs and others involved to ensure members are receiving the correct level of assistance
- Contacting members to inform them of medical Claim status, obtain additional information if requested, and resolve billing and balance issues
- Will take initiative
- Must be willing to work 1st shift
- CDL A preferred but not required
- Must be willing to work 2nd or 3rd shift
- Bachelor’s Degree in Business with a concentration in Business, Accounting, Finance or Economics
- At least 2 years in a fast paced, high volume, full cycle Accounts Payable organization in large teams
Associate Processor Job Description
- Submitting and resubmitting claims and forms accurately to receive prompt and correct payment for customers
- Responding to inquiries from internal and external sources regarding claim status and customer accounts
- Provide support for submitting medical claims, resubmitting as needed and addressing denials and incorrect partial payments received
- Completion of assigned daily operational processes, while adhering to established procedures and policies, which results in a satisfactory audit rating
- Assist with research and resolution of client or branch issues to ensure a high standard of customer service
- Data entry of claims into ENS or ECS application for auto-pricing
- Adjudicate medical/dental and vision claims in accordance with policy terms and conditions
- Monitor turn around times to ensure your claims are settled within required time scales to meet client SLA’s
- Identify potential process improvements and make recommendations
- Manage client instructions through the development of high quality interpersonal skills
- Experience with an ERP system for invoice processing (especially SAP and an A/P automation tool including exception handling a plus)
- Vendor dispute resolution and GRIR account analysis
- Ability to meet deadlines while maintaining accuracy is required
- Extremely detail and system oriented
- Ability to follow procedures while looking outside of the box for process improvement and increased efficiency
- Willing to juggle and time manage competing deadlines
Associate Processor Job Description
- Work closely with other departments in line with service needs
- Carry out other adhoc tasks as required meeting business needs
- Act as primary contact on management of all usage based billing mailboxes and cases and provide response and resolution to emails and cases per Agreement terms within Service Level Agreement (SLA) timeframes
- Analyze data and reports for accuracy and make corrections as needed
- Generate reporting as requested related to primary functions
- Monitor consumption, overage and expired trials with active usage
- Process customer information updates, credit transactions, document requests, and other administrative duties as required
- Complete additional projects and tasks related to Revenue Operations as they arise
- Load / unload trucks confirming cylinder quantities, styles and product mix
- Cover the pipeline of teammates who are out of the office due to approved vacation, leave of absence, sick leave
- Associate's/Bachelor's desirable
- Willingness to obtain Class A or Class B CDL and applicable endorsements
- Claims processing experience is strongly preferred
- Must be willing to work on 12 hour shift rotation (Days and Nights)
- Must be willing to work 2nd Shift (M-F
- Knowledge of computers and the ability to learn new and complex computer systems