Correspondence Processing Representative

Essential Job Functions

• Review incoming payer correspondence within the correspondence application and execute appropriate next steps, including posting denials, creating image issues, and routing to payments.
• Accurately link relevant documentation and document images directly to the corresponding patient accounts in the system.
• Meet or exceed daily production benchmarks of 1,100 pages processed per shift while ensuring all assigned batches are fully processed within 7 calendar days of the received date.
• Research and resolve ambiguous or incomplete payer correspondence using client billing systems, payer portals, and standard operating procedures (SOPs).
• Identify, log, and escalate unprocessable correspondence, systemic payer trends, or recurring billing/denial errors to management.
• Pre-sort, index, and digitize paper or electronic correspondence files to ensure proper routing within the correspondence application.
• Maintain compliance with HIPAA regulations and company standards regarding protected health information (PHI). Key Success Indicators/Attributes
• Ability to prioritize and multi-task in a fast-paced, changing environment.
• Demonstrate ability to work in all work types and specialties.
• Demonstrate ability to self-motivate, set goals, and meet deadlines.
• Ability to develop and maintain relationships with operations business partners by building personal credibility and trust.
• Maintain courteous and professional working relationships with employees at all levels of the organization.
• Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.
• Demonstrate excellent analytical, critical thinking and problem-solving skills.
• Manage the Individual KRA’s as per the provided metrics.
• Meet the productivity and quality targets of clients within the stipulated time.
• Skill in operating a personal or company owned computer and utilizing a variety of software applications is essential Supervisory Responsibility No Work Environment This job operates in an office environment. This role routinely uses standard office equipment such as computers and phones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
• Stationary Position: Must be able to remain at a desk for prolonged periods for most of the workday.
• Operating Equipment: Constantly operates a computer, keyboard, mouse, and telephone/headset, including frequent repetitive hand/wrist motions for typing and prolonged periods of screen viewing and virtual communication.
• Visual Requirements: Requires close visual acuity to view computer screens, read documents, and analyze data.
• Cognitive Focus: Sustained concentration for problem-solving and task management, including ability to maintain concentrated attention to detail to ensure coding accuracy and compliance
• Communication: Frequently communicates with coworkers and clients via speech and hearing.
• Movement: Occasionally stands, walks, or reaches to access office equipment, files, or supplies. Light lifting of up to 10 pounds may occasionally be required. Position Type This position can be full-time or part-time as determined by the job requisition for the specific client assignment to which the employee is assigned. Expected Hours of Work Days and hours of work will depend on the specific client assignment to which the employee is assigned. This position may require long hours and weekend work to support Company or client needs. Travel Minimal travel required; up to 5% Required Education and Experience
• High school diploma or GED required (or equivalent vocational training).
• 3 to 6 months of hands-on medical billing or insurance denial management experience.
• Proficiency in correspondence management software, billing systems, and basic navigation of EHR/PM platforms.
• Strong written comprehension, high typing speed and accuracy, and keen attention to detail. Security Access Requirements In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega set forth in the “Standard Field Employee” profile. Microsoft Office ADP Oracle E1- Field Employee Standard Employee Standard Equal Employment Opportunity: Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.