Payment Representative

Sanford HealthMarshfield, WI
$15 - $23Onsite

About The Position

Responsible for resolving a high volume of accounts, ensuring accurate posting, verification and balancing of payments from payers. Utilize appropriate systems, tools, and procedures to process payments and adjustments, checking and crosschecking output. Perform manual and electronic posting functions. Research and send requests for refunds for patients and insurance companies when necessary. Perform daily reconciliation of deposits and verify data for financial purposes. Partner with finance team when applicable, to assure transactions are handle accurately. Maintain up-to-date knowledge of Medicare and insurance industries, understanding how any changes may affect payment processing and refunds. Escalate issues to supervisor for resolution as deemed necessary. Maintain strict confidentiality of patient information in compliance with Health Insurance Portability and Accountability (HIPAA) and state and federal regulations. Contribute to the achievement of established department goals and objectives and adhere to department policies, procedures, and quality standards. Assist in other duties as assigned.

Requirements

  • High school diploma or equivalent preferred
  • Previous experience in medical billing and/or accounting preferred

Responsibilities

  • Resolving a high volume of accounts
  • Ensuring accurate posting, verification and balancing of payments from payers
  • Utilizing appropriate systems, tools, and procedures to process payments and adjustments, checking and crosschecking output
  • Performing manual and electronic posting functions
  • Researching and sending requests for refunds for patients and insurance companies
  • Performing daily reconciliation of deposits and verifying data for financial purposes
  • Partnering with the finance team to assure transactions are handled accurately
  • Maintaining up-to-date knowledge of Medicare and insurance industries
  • Escalating issues to supervisor for resolution
  • Maintaining strict confidentiality of patient information in compliance with HIPAA and state and federal regulations
  • Contributing to the achievement of established department goals and objectives
  • Adhering to department policies, procedures, and quality standards
  • Assisting in other duties as assigned
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