Data Entry Payment & Denial Specialist

Advocates•Framingham, MA

23d•$22•Hybrid

About The Position

The Data Entry Payment specialist assists with payment intake and post payments reconciliation processes. They manually and electronically process and post a high volume of payer remittance while updating account adjustments and keeping records of account standings.

Requirements

Must have a high school diploma and 1-3 years cash management experience.
1 – 3 years cash management experience.
Knowledge of billing software, and third party EOB and reimbursement procedures.
Ability to process high volume of work.
Keen attention to detail.
Must be able to perform each essential duty satisfactorily.
High energy level, superior interpersonal skills and ability to function in a team atmosphere.
Must have excellent communication skills both verbal and written.
Ability multitask in a busy office environment.

Nice To Haves

Preferred at least one year experience in third party billing, knowledge of insurance carrier regulations, policies and procedures, collections and overall accounts receivable management.
Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations.

Responsibilities

Accept payments and process billing statements.
Track payment deposits from clients and insurance reconciling details.
Prepare Payment batches.
Assess explanation of benefits (EOBs) from insurance companies.
Keep accurate billing records and report any discrepancies to supervisor.
Perform insurance verifications for new and ongoing clients insuring that all necessary forms and documents have been completed for billing process.
Submit necessary documentation to insurance carriers for reimbursement as needed.
Prepare all documentation for recording and submitting third party claims.
Follow up and resolve issues regarding claim denials.
Perform collection activities that may include, client and insurance phone calls.
Monitor current insurance requirements, regulations, and maintain updated library.
Adhere to all principles related to The Advocates Way.
Attend and actively participate in supervision and staff meetings.