Data Entry Payment & Denial Specialist

AdvocatesFramingham, MA
41d$22

About The Position

Starting Rate: $22/hour 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. Minimum Education Required High School Diploma/GED Additional Shift Details This position will be based out of Franklin and Framingham There is potential to shift to a hybrid model after 90 days at managers discretion

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.
  • 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.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Ambulatory Health Care Services

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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