Providence Community Health
Medical Payment Entry Specialist
Employee - Full Time
Indiv Contrib-Union
Warwick, Warwick, RI, US
The Medical Payment Entry Specialist will perform tasks and functions associated with all aspects of entering third party reimbursements/self pay payments. The Medical Payment Entry Specialist will follow the established job performance standards for the position and must have the fundamental knowledge of an FQHC or physician billing procedures.
Essential Duties & Responsibilities:
Imports/uploads electronic 835 files daily.Upload all 835 from Emdeon each dailyUploads all non Emdeon 835 files Convert non-Emdeon 835 files to readable formatUploads & saves PDF remittances from internal and external sources for electronic copy.Find PDF information via Emdeon or the external payer siteUpload to saved folder on the Billing DriveCreate new folders for each month as neededMaintain Excel spreadsheet of monies received by payer and by date in order to reconcile at day and month end.Document application of deposit information received from finance through electronic funds transfersVerify matching 835 fileDocument any discrepancies on the Excel spreadsheet from 835 fileReconcile end of days deposits to spreadsheetMaintains accurate and timely posting of payments remitted to PCHC through 835 process and checks received in the mail from insurance companies and patients.Reviews payment informationVerify correct information such as payer, check date, check number & amountApplies the 835Prints out exception reportReviews exceptions for reasonManually enters payment or denial informationInsurance receipts of remits are processed accurately.Print daily journalVerify payment information using patient name, ID number, date of serviceVerify all denials have been entered
Education and/or Experience
Two to three years experience in payment posting and third party medical billing or healthcare finance. High School diploma, with preference given with a billing certificate or an Associates Degree.
PCHC is EOE/M/F/D/V/SO
Equal employment opportunity, including veterans and individuals with disabilities.
PI266847473
