Payment Processor

Medical University of South Carolina•Charleston, SC

1d•Remote

About The Position

The Payment Processor responsibility is to receive and key enter payments and adjustments into the EPIC system for the purpose of updating accounts in a timely manner. This position is with MUSC Community Physicians (MCP) and is an employee role, regular worker sub-type, with a cost center of CC004513 MCP - Revenue Cycle. The pay rate type is hourly, pay grade Health-21, with scheduled weekly hours of 40. The work shift is Monday - Friday 8:00am - 5:00pm. This position offers a remote work schedule.

Requirements

High school diploma or equivalent education required.
Minimum 2 years experience with MUSCP and Centricity Business applications preferred.
Knowledge of hospital/other systems necessary.
Analytical abilities, strong oral and written communication skills.
PC software knowledge.

Nice To Haves

Minimum 2 years experience with MUSCP and Centricity Business applications.

Responsibilities

Process insurance payments, denials, special billing payments, capitation payments, and denials as assigned in an accurate manner and from oldest deposit date to current.
Process adjustments on a daily basis.
Allocate patient payments when applicable to avoid creating credit balances.
Monitor for processing issues with 835 processing as assigned.
Ensure files are processed within Organizational/Departmental guidelines.
Processes edits daily and ensure proper adjustments and/or FSC transfers are processed accurately.
Utilize all resources available prior to assigning payments to a hold status.
Receive authorization from Supervisor/Manager prior to placing any payments in the UFund.
Unresolved holdings that are not approved for UFund placement after 30 days from date of deposit are to be returned to the carrier.
When back-up is available, process recoupments with the cash deposit and should not exceed 30 days from deposit date unless back-up is not available.
Place recoupments >30 days in the Recoupment UFund after authorization from Supervisor/Manager.
Accurately process adjustments daily.
Maintain accuracy rate of >=98% on audit reviews performed by the Quality Assurance Department.
Other duties as assigned.