Job Description

Job Title: Cash/Claims Processor

Start Date: As soon as possible

Length of Assignment: 12/31/2025

Location Address: Mason, OH 45040

Pay range: $19.50 - $21.42 based on experience and interview performance

Schedule:

• Work hours: 8:00–5:00 with 1-hour lunch, or 8:00–4:30 with 30-minute lunch
• Onsite: 1st week will be 100% onsite. Hybrid opportunity with 3 days in office and 2 days remote.

GENERAL FUNCTION

The Cash Coordinator is responsible for managing the flow of cash batches and research needed to apply the cash appropriately. They must be able to communicate strongly, both internally and externally, to ensure all cash is applied in a timely manner on open receivables. This position requires significant team interaction as well as the ability to work independently. Critical thinking and problem solving skills are needed.

MAJOR DUTIES AND RESPONSIBILITIES

• Manage the flow of processes completed by Cash Processors to ensure all cash is applied in a timely manner to outstanding invoices and provide Cash Supervisor for daily updates.
• Document and track stats of all processes within Cash and report results to Cash Supervisor.
• Train associates on how to process transactions, which include researching and applying cash for both Payers and Members, identifying and documenting partial payments and denials, and scanning completed batches into our systems.
• Complete and submit applications and documentation necessary for setting up EFT's (report any issues to Cash Supervisor).
• Provide a point of contact for any questions/issues regarding Cash for other areas of Assignment.
• Provide a point of contact for any questions/issues regarding our systems
• Attend meetings and/or conference calls at the request of Cash Supervisor to provide insight on Cash processes for internal or external customers.
• Schedule and coordinate monthly team meetings.
• Support relationships with designated Payers, including frequent updates to Management team.
• Work pre-bill queries weekly to ensure claims are sent accurately to minimize denials.
• Analyze open receivable trends, including payment frequency and root cause analysis.
• Research and resolve insurance denials for proper submission of claims within a given time frame.
• Resolve/escalate any Provider, plan set-up, store and/or system issues accurately and in a timely manner.
• Run and work various AS400 queries for research each week to analyze in Microsoft Excel.
• Quickly summarize outstanding AR issues and provide recommendations/solutions.
• Analyze collections data quarterly and develop projects based on P&L risk by Payer, forecasting expected payments and providing line of sight to resolution.
• Support the collection of receivables for Canada, including write-offs (adjustments), monthly ATB analysis and resolution of issues.
• Assist Supervisor as needed with special projects and training.

KNOWLEDGE AND SKILLS

• Knowledge of vision and/or insurance benefits
• Knowledge or experience in claims processing
• Proficient in Microsoft Excel application
• Understand and honor high level of confidentiality
• Promote integrity and a strong work ethic
• Able to quickly grasp and retain information and concepts
• Able to multi-task and prioritize handling of issues
• Team and performance oriented
• Strong communication skills, both oral and written
• Knowledgeable in continuous improvement and problem solving
• Strong analytical skills
• Strong customer service

ADDITIONAL JOB DETAILS

• Interviews will be onsite at the Mason location.
• Experience in healthcare, insurance or corporate related field a plus.

Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

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