Remittance and Payment Processor
Roles and Responsibilities:
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Print EFT lists and check Athena for payment batch print outs, daily.
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Post and balance all Dental remittance payments and adjustments, daily.
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Scan to Athena all third party payments received at corporate office, daily.
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Post and balance bi-weekly payroll deductions against employee account balances.
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Post and balance all SFS payments and adjustments in Dentrix, weekly.
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Use remittance record tool in Athena for unpostables, daily.
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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.
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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.
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Research and prepare refund requests for overpayments on all accounts that incur a credit balance at the time of payment posting.
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Update system notes for payments received on balances at the collection agency, forward to collector to report these payments to the Collection Agency.
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Assists in answering patient and employee phone inquiries.
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Log Medicare bad debt recoveries as received for inclusion in the Cost Report.
QUALIFICATION & REQUIREMENTS:
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High School Diploma
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One (1) year experience handling medical claims processing
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Use of 10-key calculator and CRT accurately by touch
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Good telephone etiquette and organizational skills
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Must be computer literate and have the aptitude to learn new programs as changes occur
This job description is not intended to be all-inclusive, and the employee will also perform other reasonable related business duties as assigned by supervisor.
- This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment