Correspondence Processing Representative

Omega Healthcare Management Services•Boca Raton, FL

15h•Onsite

About The Position

The Correspondence Processing Representative reviews and processes incoming payer correspondence, links relevant documentation to patient accounts, researches ambiguous items, and ensures correspondence is accurately routed and handled within required timelines. The role supports client productivity and quality targets while maintaining compliance with HIPAA and company security policies. Work schedule and full-time or part-time status depend on the specific client assignment.

Requirements

High school diploma or GED, or equivalent vocational training.
3 to 6 months of hands-on medical billing or insurance denial management experience.
Proficiency in correspondence management software and billing systems, with basic navigation of EHR/PM platforms.
Strong written comprehension, high typing speed and accuracy, and keen attention to detail.
Ability to operate a computer and use a variety of software applications.
Analytical, critical-thinking, and problem-solving skills.
Ability to prioritize and multitask in a fast-paced, changing environment, work across work types and specialties, self-motivate, set goals, and meet deadlines.

Responsibilities

Review incoming payer correspondence in the correspondence application and take appropriate next steps, including posting denials, creating image issues, and routing items to payments.
Link relevant documentation and document images to the corresponding patient accounts in the system.
Process at least 1,100 pages per shift and complete assigned batches within 7 calendar days of receipt.
Research and resolve ambiguous or incomplete payer correspondence using client billing systems, payer portals, and standard operating procedures.
Identify, log, and escalate unprocessable correspondence, systemic payer trends, and recurring billing or denial errors to management.
Pre-sort, index, and digitize paper or electronic correspondence for proper routing.
Comply with HIPAA regulations and company standards for protected health information.
Meet individual performance metrics and client productivity and quality targets within required timelines.
Follow corporate and organizational security policies, safeguard corporate and client assets, and report security compromises within the scope of the position.
Maintain professional working relationships with employees, operations business partners, coworkers, and clients.