MedPro Remittance Proc Paymt Spec ll

Description

JOB SUMMARY

Under the direction of the MedPro Remittance Processing Supervisor the Payment Specialist II is responsible for posting all monies received by MedPro Solutions to the appropriate accounts.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Verifies EOB's by notating on the EOB certain data elements in preparation for keying.
• Posts payments, no-pays, and/or adjustments through open claims and data entry in a timely manner.
• Fills out error correction forms for incorrect data on an account.
• Requests refunds when an overpayment appears on an account.
• Runs tapes and balance data entry payments and adjustment batches.
• Keys payments and adjustments for the department's more difficult carriers.
• Works unapplied reports daily.
• Generates refunds per MedPro policy and procedures and client specific contracts under the direction of the Remittance Processing Supervisor.
• Completes scanning duties as scheduled by Remittance Processing Supervisor.
• Assists Payment Specialist III as needed.
• Accurately follows written and verbal instructions.
• Other duties as assigned by management are accepted willingly and completed in a timely manner.

CORPORATE CULTURE RESPONSIBILITIES

• Follow established corporate and department-specific policies and procedures.
• Attend all corporate and department-specific required training.
• Uphold MCC's Purpose, Values, and Vision.
• Abide by MCC's Corporate Culture Responsibilities.
• Perform other duties as may be assigned cheerfully and willingly.

Requirements

EDUCATION/EXPERIENCE REQUIREMENTS

• Minimum education requirement is high school diploma, or equivalent.
• Minimum 1 year as a Payment Specialist I. 

KNOWLEDGE, SKILLS AND ABILITIES

• Ability to prioritize and manage multiple tasks.
• Displays customer services skills, strong interpersonal skills, close attention to detail, excellent verbal and written communication skills, and basic math skills.  
• Be a person of integrity and character, willing to embrace change and make a positive impact in the lives of patients and co-workers.
• Ability to work with staff members at all levels of the organization in a cooperative, team-oriented manner.
• Displays computer proficiency (i.e. PC Windows, MS Office) and ability to quickly learn new applications. 
• Efficient with Microsoft applications, to include Word and Excel.
• Acceptable typing speed and accuracy with ten-key by touch skills.   
• Proficient in use of English language both in written and verbal communication.
• Must be able to communicate with individuals of varying socio-economic backgrounds.
• Must be committed to the protection of confidential information, records and/or reports. 

PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

• Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
• Standing/Walking: Occasionally; activity exists up to 1/3 of the time
• Keyboarding/Dexterity: Frequently; activity exists from of the time
• Ability to look at a computer screen for extended periods.
• Ability to perform constant repetitive hands and finger motions.
• Ability to maintain focus while working in close proximity to others.
• Talking (Must be able to effectively communicate verbally): Yes
• Seeing: Yes
• Hearing: Yes 

EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

• Must exhibit stable work behaviors daily.
• Must possess adequate individual coping skills.
• Ability to remain calm and professional regardless of workload or time constraints.  
• Must be able to work under stress and remain calm and professional.    

WORK ENVIRONMENT

• Office environment
• Exposed to frequent and constant interruptions in daily functions/schedule. 
• May be required to work extended hours to meet department needs