Payment Clerk

Enlyte•Jefferson City, MO

4d•Onsite

About The Position

The Payment Clerk is responsible for providing exceptional support to healthcare providers and internal stakeholders by managing claim inquiries, verifying payment information, processing payment-related data, and maintaining accurate records. This role serves as a key point of contact for providers regarding claim status, bill processing, and payment inquiries while ensuring timely and accurate data entry, tax ID verification, and claims processing support. The Payment Clerk must demonstrate strong attention to detail, excellent customer service skills, and the ability to manage multiple priorities in a fast-paced environment. This is an onsite position located in Jefferson City, MO.

Requirements

High School Diploma or GED required.
Minimum of one year of administrative, customer service, claims processing, payment processing, or related experience preferred.
Experience working with payment systems, claims management systems, or healthcare-related platforms preferred.
Strong proficiency with Microsoft Office applications, including Outlook, Word, and Excel.
Ability to accurately enter and verify data with exceptional attention to detail.
Excellent verbal and written communication skills.
Strong organizational and time management abilities.

Responsibilities

Answer incoming calls on the Provider Status Line in a professional, courteous, and timely manner.
Respond to incoming provider calls on the Claims Line and address questions regarding claims, payments, and bill status.
Manage and respond to claim inquiry emails, ensuring requests are processed correctly and efficiently.
Research claim numbers, bill status, and payment information to provide accurate updates to providers.
Explain bill processing stages, timelines, and next steps to providers.
Provide clear and accurate information regarding claim status, payment activity, and processing requirements.
Maintain detailed notes and records of provider interactions and inquiries.
Review previous payment history to identify duplicate payments, adjustments, or payment discrepancies.
Analyze claim comments and system notes to ensure providers receive accurate and complete information.
Research claim numbers and route claims to the appropriate adjusters for pre-processing activities.
Verify tax identification numbers (Tax IDs) within the SAMII system for bills assigned to vendor priority queues.
Confirm tax ID details, including verification of the last two digits for processing accuracy.
Determine whether vendor tax IDs have been removed from hold status and are eligible for payment processing.
Verify tax ID updates and ensure accurate vendor information is maintained within company systems.
Enter payment-related data into company systems with a high level of accuracy and attention to detail.
Process manual data entry for priority payments and front desk payment submissions.
Support payment processing and data entry teams by conducting information lookups, verifications, and research activities.
Maintain data integrity by ensuring all payment and claim information is entered and updated correctly.
Monitor and manage email communications throughout the workday.
Respond promptly to claim inquiries and provider requests.
Communicate effectively with providers, adjusters, supervisors, and other internal departments.
Escalate complex claims, payment issues, or provider concerns to appropriate personnel when necessary.
Coordinate with internal teams to facilitate efficient claim and payment resolution.
Review calendars regularly to stay informed of meetings, schedule changes, and department updates.
Maintain an organized inbox by managing and archiving email communications appropriately.
Organize and maintain documentation, correspondence, and records related to provider inquiries and payment processing.
Ensure all records are accurate, complete, and readily accessible for auditing and operational purposes.