Senior Accounts Payable Cost Containment Representative (Apcc)

At Falck Global Assistance, we strive to provide innovative solutions to meet new challenges and provide more people access to safety and healthcare every day. We do this by combining our skills, experience, and innovation to help people when they need us. To us, quality means a holistic approach to health throughout a lifetime. When we prevent or treat injuries and illness, we consider the body, mind, lifestyle, and the mutual effects on each other. Even as people’s needs change, easy care journeys and access to quality healthcare allow everyone to feel safe and healthy.

Based in Lake Mary, Florida, Falck Global Assistance is a business unit of the Falck Group. Falck Group is a company headquartered in Copenhagen, Denmark. Our services are used by numerous companies in various business sectors to deliver end to end medical and security care. Falck Global Assistance ensures that our customers are always in safe hands, wherever and whenever they travel 24 hours a day, 365 days a year. To be the best, we need the best. At Falck Global Assistance, our best begins with you.

Falck Global Assistance offers the following amazing fringe benefits:

• Competitive Pay
• Medical, Dental & Vision
• Short- & Long-Term Disability
• Life Insurance
• Paid Time Off
• Robust 401(k) plan
• Supplemental Insurance (Cancer, Accident, Hospital)
• Employee Assistance Program

Summary

As a key member of the Finance team, your main objective as an Sr. Accounts Payable Cost Containment Representative is to evaluate medical claims (provider invoices) for accuracy, completeness and appropriate support and data entry to processing systems. It is a key function of this position to conduct complex claims research and send comprehensive reports to supervisors, Finance team members, and the customers in some cases. This position reports to the Sr. Accounts Payable Cost Containment Supervisor. This is a remote position (Monday –Friday). You must provide high speed internet and a quiet, suitable workspace at your home.

Responsibilities job duties

1. Evaluate provider invoices for accuracy, completeness and appropriate support and data

entry. Determine allowable reimbursements limits based on plan specifications

2. Perform complex research utilizing company’s case and claims data to respond inquiries

regarding claim status. Analyze and interpret new or revised requirements or programs

to determine impact upon existing procedures

3. Prioritize tasks effectively and report issues to supervisor immediately.

4. Provide interoffice support to other departments as needed

5. Handle protected health information and personal information in a manner consistent

with the Health Insurance Portability and Accountability Act (HIPAA) and General Data

Protection Regulation (GDPR)

6. Other duties as assigned

Minimum Qualifications

1. High School Diploma, GED, or equivalent

2. Experience working with Microsoft Office– Outlook, Word, Excel. Intermediate level of

Microsoft Excel.

3. Two years minimum experience in US claims adjudication required, international claims

experience a plus.

4. Ability to conduct complex research of paid / unpaid claims and create comprehensive

case reports; ability to maintain track of large claims data.

5. Ability to perform Accounts Payable activities efficiently and effectively – comprehend,

reason, perform basic mathematical calculations and analysis

6. Ability to adapt to and learn new payment processing software

7. Ability to maintain attention to detail and a high degree of accuracy in a busy

environment while meeting deadlines

8. Ability to communicate effectively and professionally with colleagues, customers,

vendors, and physicians both orally and in written format

9. Positive attitude - able to work as a part of a team as well as independently

10. Familiarity with Travel Insurance industry preferred.

Work Environment & Conditions

1. Maintain an agreed upon work schedule and productivity levels in a remote

setting within a quiet work environment free of interruption during work hours.

2. Provide a workspace that allows company information to be maintained in a

confidential manner

3. Sustain interpersonal relationships which encourage openness, candor and trust, both

internally and externally.

Falck Global Assistance is an Equal Opportunity Employer

It is the policy of Falck to provide equal opportunity for qualified persons and not to discriminate against any applicant for employment because of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, citizenship, or any other characteristic protected by federal, state or local law at the Falck location to which this application is submitted. If you require accommodation during the application process, please contact the local Human Resources department. EOE Females/Minorities/Protected Veterans/Individuals with Disabilities.

If you have a disability or impairment that prevents you from completing the online application, please seek the assistance of your local employment services agency. Falck maintains active relationships with local employment services agencies, and they have pledged their support in assisting any applicant needing help in applying. To find information on agencies throughout the United States, please go to www.careeronestop.org

You may also call Leyla Z. Dulanto at 321-588-6312 if your disability or impairment prevents you from applying online. NOTE: Do not use this number unless you need assistance because of a disability or impairment. The personnel attending this phone line will not be able to give you a status update regarding your application and will not be the individuals making a decision regarding your employment.

Job Type: Full-time

Pay: $20.00 - $22.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience level:

• 2 years

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Remote