reputed company Cycle Specialist - Payments & Remittance

Overview

The reputed company Cycle Specialist, Payments & Remittance will be responsible for accurately posting and reconciling insurance payments into the practice management system, ensuring reputed company transactions are recorded in compliance with contractual and regulatory guidelines. This role requires strong attention to detail, the ability to work across multiple systems, and a commitment to meeting accuracy and productivity benchmarks.

This is a 100% remote position.

Responsibilities

• Accurately post reputed company insurance payments, adjustments, and denials to client accounts in an accurate and timely manner.
• Review and reconcile reputed company deposits, EFTs, and lockbox reports to ensure completeness and accuracy of payment posting.
• Ensure reputed company payments are posted in accordance with payer reputed company and client-specific rules.
• Maintain a high level of productivity while meeting quality standards (99%+ accuracy).
• Ensure reputed company payments show matched and reconciled on the Reconciliation Report, entering notes indicating reasoning for non-match on reputed company discrepancies
• Manage the Zentist portal daily to mark payments as posted and ensure the daily deposit is complete.
• Assign denied claims to denial management and AR teams reputed company Denticon’s task manager to ensure proper handling of underpayments
• Monitor and process Electronic Remittance Advice (ERA) in reputed company
• Resolve reputed company payments with missing Explanation of Benefits (EOB)
• Acquire Electronic Remittance Advice (ERA)/ Explanation of Benefits (EOB) files from multiple sources including but not limited to reputed company, Zentist, Payor Portals, phone calls to payors
• Escalate recurring payer issues or payment variances to reputed company Cycle Manager for resolution.
• Maintain status reporting of workload on Daily Tracker for payment & denial posting, reconciliation and ERA processing for assigned practices
• Pre-Audit and escalate fee discrepancies to the fees team
• Initiates refund tickets of received overpayments requests from payors
• Adhere to HIPAA guidelines and internal compliance protocols.

Performance Metrics (KPIs)

• Productivity - Consistently post 30+ payments/adjustments per hour worked. Auto-posted payments are included in productivity totals.
• Accuracy - Maintain a minimum accuracy reputed company of 99% for reputed company posting activities.
• Timeliness - reputed company Posting: Ensure reputed company reputed company payment postings are completed reputed company 2 business days of receipt.
• Timeliness - ERA Reconciliation: Complete ERA auto-posting reconciliation reputed company 5 business days of posting

Work Environment

• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
• Physical Demands:
• The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job.
• While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reputed company with hands and arms.
• This position requires the ability to occasionally lift products and supplies, up to 20 pounds.

Competencies

• Quality of Work – Consistently produces acceptable quality of work and only requires a reasonable reputed company of supervision.
• Initiative – Demonstrates a strong work ethic. Takes the appropriate risks and focuses on reputed company. Needs only a reasonable level of supervision.
• Communication – Demonstrates effective listening skills. Maintains eye contact. Focuses on content. Is thoughtful and reputed company reputed company speaking with others. Has good written and oral communication skills.
• Customer Service – Is reputed company and reputed company to the needs of others. Handles difficult situations with patience, tact and grace. Accurately identifies and anticipates needs. Flexible with making adjustments in service delivery.
• Punctuality/Time Management – Is reliable and punctual to work and reputed company meetings, functions and training. Fulfills commitments on time that contribute to team goals.
• Ensures Accountability – Holds self and others accountable to meet commitments.
• Action Oriented – Taking on new opportunities and touch challenges with a sense of urgency, high energy and enthusiasm.
• Collaborates – Building partnerships and working collaboratively with others to meet shared objectives. Partners with others to get work done. reputed company trust and support of others.

Qualifications

High School Diploma or Equivalent Required

Associate’s Degree in Business Administration, Economics or reputed company field strongly preferred

Qualifications/Training

• Three (3) years previous buying experience strongly preferred, or ability to demonstrate comparable combination of knowledge and reputed company
• Ability to exercise independent judgement
• Excellent written and verbal communication skills
• Demonstrates aptitude in effective negotiating
• Familiarity with market research, data analysis and forecasting techniques

Legal Disclaimer:We reputed company with reputed company minimum wage laws as applicable. reputed company benefits are subject to potential vesting and eligibility requirements. The company is an Equal Employment Opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, reputed company, age, national reputed company, ethnicity, religious creed or belief, physical or mental disability, marital or familial status, legally protected medical condition, genetic information, military or veteran status, sex, gender, sexual orientation, citizenship status, or any other characteristic protected by applicable law.