Spherion's Hiring! We are seeking a Payment Clerk for one of our clients in Downtown Burlington! This position is responsible for posting all insurance and patient payments and reprocessing denied claims. Specific duties include posting insurance and patient payments, denials and contractual/other adjustments to patient accounts; transferring coinsurance and deductible balances to patient responsibility; balancing posted payments; and organizing refund requests. In addition, he/she must follow all policies and procedures as outlined by the company and/or governmental regulations and according to HIPPA regulations.
KEY RESPONSIBILITIES Include but are not limited to the following:
Maintain a working knowledge of Company, rules and policies, and works to ensure the compliance with the stated parameters.
Prep payment batches and post to the patient accounts; update the daily Receipts log.
Post all payments to include: insurance, patient, and client payments.
Apply all proper adjustments and denials to patient accounts.
Verify the patient's account number, date of service, name, and date of birth to ensure payment is being applied to correct account.
Verify batch totals, edit, reconcile and update payment batches.
Read, understand, and comprehend Explanation of Benefits (EOBs) from insurance carriers.
Research unidentified payments and/or recoupments to determine correct transaction.
Research and identify refund requests and take backs.
Ensure strict confidentiality of patient records.
Maintain high level of customer service in dealing professionally with customers on the phone.
Maintain work operations by following policies and procedures, report any compliance issues.
Enhance the billing department reputation by accepting ownership for accomplishing new and different requests, exploring opportunities to add value to job accomplishments.
Working hours: Monday-Friday 8am-5pm
The Payment Clerk should have experience working with billing.
High School Diploma required.
Uses effective communication skills.
Uses communication technologies efficiently.
Performs accurate data entry.
Consistently works to improve error rate.
Employs general math skills and statistical analysis when appropriate.
Able to analyze information and problem solve.
Acts responsibly and follows professional code of conduct as set forth by senior personnel.
Utilizes excellent computer skills, especially Microsoft Office and Advanced MD, XIFIN and other technology and software as assigned.
Multitasks while maintaining attention to detail. Works in a highly organized and efficient manner.
Maintains a high level of reliability, dedication and initiative.
Apply online and once your application is complete, please email us at email@example.com
Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.