Rcm ar administrator

This role is office-based in Mexico. The role requires professional fluency in English (spoken and written).

Position Summary:

Under the general supervision of the Operations Supervisor, the A/R Administrator, PFM A/R performs detailed level process and account analysis based on the client(s) in which they are assigned in order to provide reconciliation services to our pharmacy clients. Duties include researching and resolving unapplied cash and collaborating with Client Experience partners to ensure client needs are met timely and accurately.

Primary Accountabilities:

Operational (60%)

• Review unapplied checks daily and escalate issues that cannot be resolved within specified deadlines
• Internally and externally document efforts to resolve unapplied cash
• Research and request missing remittance via online portals, working with the Payer Relations Team to secure electronic remittance, or contacting the insurance carrier to request paper remittance
• Process remittance received in order to create payment batches for association
• Resolve payment batch exceptions

Analytical (30%)

• Perform trending analysis of unapplied cash and provide actionable recommendations to leadership, operations and account teams
• Complete research, trending and analysis in order to accurately identify which open checks can be manually associated to available payment batches
• Use root cause analysis to identify and resolve issues

Administrative (10%)

• Follow HIPAA policies and procedures per company guidelines
• Participate in required and targeted departmental trainings, which may include (but are not limited to) AI, finance, systems, compliance, and process improvement initiatives
• Complete ongoing learning and development activities that evolve year-over-year to support departmental, organizational, and industry changes

Required Qualifications:

• High School Diploma/GED
• 1-2 years of related work experience and/or any equivalent combination of experience and training that provides the required knowledge, skills, and abilities needed to complete the major responsibilities/essential functions of the position.
• Proficient in Microsoft Windows and Google Office Suite
• Competent in Microsoft Office Excel and Adobe

Individual Competencies:

• Analytical and Critical Thinking
• Adaptable
• Teamwork
• Communication
• Curiosity and Continuous Learning (expanded)
• Problem Solving
• Collaboration
• Efficiency & Process Improvement (new)

The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

While performing the duties of this job, the associate is:

• Regularly required to use hands to finger, handle or feel objects, tools or controls, and reach with hands or arms.
• Regularly required to talk or hear and read instructions on a computer monitor and/or printed on paper.
• Rarely required to stand, kneel or stoop, and lift and/or move up to ## pounds.
• Regularly required to view items at an extremely close range and must be able to adjust and readjust focus.

Occasionally: Job requires this activity up to 33% of the time
Frequently: Job requires this activity between 33% - 66% of the time
Regularly: Job requires this activity more than 66% of the time

Safety:

Support a safe work environment by following safety rules and regulations and reporting all safety hazards.

As an Inmar Associate, you:

• Put Customers First
• Raise the Bar
• Seek Truth Together
• Learn in Action
• Uphold Commitments

Recruitment Fraud Notice: Recruitment fraud is an increasingly common scam where individuals pose as employers to offer fictitious job opportunities. Scammers sometimes impersonate Inmar recruiters on LinkedIn and other channels. We will never ask for payment or sensitive personal information during the hiring process. Verify any role on our official Workday Careers site and learn how to spot scams in our full notice.