Correspondence Processing Representative

Omega Healthcare Solutions • Boca Raton, FL

2d • $16 - $23 • Onsite

About The Position

The Correspondence Processing Representative reviews incoming payer correspondence and takes appropriate action, including posting denials, creating image issues, and routing items to payments. The representative links supporting documentation and images to patient accounts, processes and indexes correspondence, and researches unclear or incomplete items using client billing systems, payer portals, and standard operating procedures. The role requires meeting production and quality targets, protecting PHI, and escalating unprocessable correspondence and recurring payer or billing issues. The position operates in an office environment and may be full-time or part-time depending on the client assignment. Work schedules depend on the assignment and may include long hours and weekends. Travel is minimal, up to 5%.

Requirements

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

Responsibilities

• Review incoming payer correspondence 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.
• Meet or exceed the daily production benchmark of 1,100 pages per shift and process 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 files for proper routing.
• Comply with HIPAA requirements and company standards for handling protected health information.
• Meet client productivity and quality targets and manage individual KRAs according to provided metrics.
• Follow corporate and organizational security policies and help safeguard corporate and client assets.
• Maintain professional working relationships with employees, clients, and operations business partners.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Potential bonus programs, commissions, or other variable incentive plans for eligible employees

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED