Payment Specialist

HopeHealth Inc Florence, SC, US, SC

About The Position

Provides the necessary functions to post all payments in a timely and appropriate manner.

Requirements

  • High School diploma or GED
  • 1-2 years experience in health insurance and/or healthcare industry knowledge is required.
  • Good oral and written skills
  • Excellent computer skills
  • Knowledge of insurance industry and medical terminology
  • Detailed oriented with strong organizational skills
  • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
  • Must possess the ability to communicate in the dominant language of the geographic region.
  • Must have manual dexterity to key in data, grab, grip, hold, tear, cut, sort, and reach.

Nice To Haves

  • Associate degree/certification preferred

Responsibilities

  • Accurately process ERA files by importing Electronic Remittance Advice daily.
  • Retrieve Explanations of Benefits from payer websites when required to post payment.
  • Complete the posting of all payments and non-payments daily.
  • Work with payers for missing documentation needed in order to post payments within established lag time.
  • Cross train to provide support to other Payment Specialist(s).
  • Reconcile payments with clearinghouse or other sources.
  • Escalate payer specific ERAs that are not posting correctly.
  • Process incoming correspondence.
  • Other assigned duties.
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