Remittance and Payment Processor

Primary Duties: Post and balance all Medicaid remittance payments and adjustments on a weekly basis. Summarize payments posted or miscellaneous receipts on remittance advice as received.

Roles and Responsibilities:

• Print EFT lists and check Athena for payment batch print outs, daily.
• Post and balance all Dental remittance payments and adjustments, daily.
• Scan to Athena all third party payments received at corporate office, daily.
• Post and balance bi-weekly payroll deductions against employee account balances.
• Post and balance all SFS payments and adjustments in Dentrix, weekly.
• Use remittance record tool in Athena for unpostables, daily.
• Copy insurance EOB’s for secondary payers and denials requiring additional information and submit daily to biller. Maintain original third party EOB’s by date.
• Documents reason for non-posting of payments received return to accounting for G/L coding & follow up (i.e. bad recovery, payment not ours, etc.) on balancing worksheet, daily.
• Research and prepare refund requests for overpayments on all accounts that incur a credit balance at the time of payment posting.
• Update system notes for payments received on balances at the collection agency, forward to collector to report these payments to the Collection Agency.
• Assists in answering patient and employee phone inquiries.
• Log Medicare bad debt recoveries as received for inclusion in the Cost Report.

QUALIFICATION & REQUIREMENTS:

• High School Diploma
• One (1) year experience handling medical claims processing
• Use of 10-key calculator and CRT accurately by touch
• Good telephone etiquette and organizational skills
• Must be computer literate and have the aptitude to learn new programs as changes occur

Additional Notes:

All qualified candidates must be able to perform the essential functions of this position. This job description is not intended to be all-inclusive. FCHC reserves the right to modify or change the essential functions of this position based on reasonable related business necessity as assigned by your supervisor.

**This job description does not constitute a written or implied contract of employment**.