Description & Requirements
Join Our Team and Make a Difference!
Are you looking for an impactful role where you finish the workday knowing you helped someone? Whether you are part of our care coordination team or play a supporting role, the work our colleagues do every day enables us to collectively reach our mission of getting people the care they need when they need it. By staying committed to our core values of Think Big, Go Fast, Deliver Awe, Win Together and Care Deeply,we can positively impact the lives of the injured workers we serve and get them back to the things that matter most in life.
Salary Range:
This compensation range considers a wide range of factors, including, but not limited to, skill set, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate is not adjusted for geographic differential associated with the location where the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role, and compensation decisions are dependent on the facts and circumstances of each case.
What We Provide in Return for Your Commitment to Our Mission
We offer a vast array of benefits to help support the whole you, including:
- Remote Work: We are a remote-first company, and almost all positions receive the flexibility of working from home.
- Generous Time Off: Besides 8 company holidays and 2 personal days every year, all colleagues receive a minimum of 18 days of paid time off.
- Comprehensive Benefits Package: Including medical, dental, vision, and pet insurance; 401(k) matching program; and company-paid life insurance and short and long-term disability coverage.
- Supportive Services: Just like our colleagues get injured workers the care they need when they need it, we want to do the same for our colleagues in their time of need. We offer a Colleague Assistance Program that provides free counseling and financial services, and our One Call Foundation, a non-profit arm of our company, provides colleagues financial assistance during times of unexpected hardships.
JOB SUMMARY:
The Accounts Payable Associate (Claims Adjudication Associate) facilitates proactive positive relationships with providers. Placing emphasis on resolution of issues that prevent accurate payment of provider invoices, while ensuring provider expenses are matched with carrier revenues.
ESSENTIAL DUTIES & RESPONSIBILITIES:
- Review system documents to ensure accurate and timely processing of provider invoices for payment.
- Attention to detail with the ability to review and analyze invoices, Single Rate Agreement’s, contracts and documents to appropriately process payments.
- Work with operations team to correct purchase orders (PO’s) and align them with authorizations from carriers, and services rendered and billed by the provider.
- Work with the network to ensure problems are resolved quickly and efficiently.
- Research and communicate via email and/or telephone with providers on additional items required to process invoices for payments (Notes, corrected invoice, Purchase Order).
- Research and resolve short payments and communicate findings to provider while processing additional payments when justified.
- Resolve inquiries and escalations from assigned providers.
- Proper review of billings to carrier to avoid potential revenue impacts.
- Build and maintain a partnership with the providers.
- Initiate and or facilitate calls with the providers.
- Provider Satisfaction.
- Perform detailed reviews/audits of all documentation supporting payments for appeals in accordance with Company policies and procedures; including matching invoices to electronic or hard-copy purchase orders and receiving documents and verifying approval signatures against current authorization lists and dollar limits.
- Ensure that invoices and other payment requests are data-entered into system under the appropriate “payor” entity, with appropriate pay dates that will result in the payment being received by the vendor or other recipient within agreed-upon/established terms or by the due date specifically requested.
- Work with Procurement/Sourcing buyers to resolve authorization related issues that are impeding the release and timely payment of an invoice. This includes relaying information to the buyer about the error message received when the posting attempt occurred.
- Troubleshoot customer problems, identifies the root cause of the problem, and uses resources appropriately to determine how to resolve customer problems.
- Participate in and support process improvement and system enhancement projects, and proactively identify ongoing opportunities for such improvements (e.g. accounts payable workflow, account coding quality).
- A strong ability to analyze documents, invoices, contracts in regard to payments.
- Tracks and documents inbound requests and ensures proper notation of problems or issues.
- Enforce Accounts Payable Customer Support processes and protocols.
- Other duties as assigned.
EDUCATIONAL AND EXPERIENCE REQUIREMENTS:
- High school diploma or General Educational Development (G.E.D.)
ESSENTIAL KNOWLEDGE, SKILLS & ABILITIES:
- Microsoft Word, Excel, Outlook skills required – Must Pass Intermediate Excel Test.
- Excellent oral and written communication skills required.
- Must be detail oriented and have the ability to multi-task.
- Must be able to follow instructions, prioritize and meet deadlines.
- Must have strong problem solving and critical thinking skills.
- Must have excellent research skills.
- Experience using medical claims software systems a plus.
- Experience with medical accounting or insurance a plus.
- Ability to work in an environment that aligns with the company's diversity, equity, inclusion and belonging standards.
- Ability to work both independently and in a team environment.
- Demonstrate our core values of Think Big, Go Fast, Deliver Awe, and Win Together.
PHYSICAL/MENTAL DEMANDS & WORK ENVIRONMENT:
- This position will be performed in the colleague’s home. Work-from-home requirements include the colleague’s ability to set up computer equipment within their home office.
- This job is primarily sedentary and may involve repetitive motions; the colleague must be able to remain in a stationary position for extended periods of time, operate a computer and other office equipment, assess information and files stored electronically, and converse/exchange accurate information with others, simultaneously.
- The colleague must be able to discern text displayed on a monitor, input data into specific fields using a keyboard, and adjust focus to distances of up to three feet.
- The colleague must have the ability to learn new tasks, follow established processes, maintain focus, complete tasks independently, complete multiple tasks simultaneously, communicate professionally with colleagues and customers, and complete tasks in situations that have a speed or productivity requirement.
- The colleague must be able to manage moderate to significant mental stress as a result of, but not limited to, a dynamic and heavy workload.
Please be advised that job descriptions typically change over time as business needs, job requirements, and employee skill levels change. As such, One Call retains the right to change or assign other duties to this position at any time.
Accounts Payable Associate I
Entry Level Role. Fundamental knowledge of basic skills/concepts with moderate level of proficiency. Works under close to moderate supervision with limited latitude for independent judgment. Works with management or Senior peers on non-complex projects or as part of a team on more-complex projects, to learn through experience. Acts as an active team member, shares ideas and suggestions appropriate for level of experience. Demonstrates basic proficiency in Excel. Typically requires 1 to 3 years of related experience.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, nationality, disability status, protected veteran status, or any other status protected by law.
