Job Responsibilities:

• Maintain productivity and quality standards while keeping at least a 90% accuracy rate.
• In coordination with Team Lead maintains the batch control process of payments and adjustments prior to, during and after entry into the billing system.
• Refers to Team Lead any questions regarding Explanation Of Benefits provided prior to payment entry.
• Enter payments and adjustments against the appropriate services on accounts for the month whenever necessary. Balance payments and adjustment to credit entry and adjustment reports.
• Offset and re-key adjustments when a retraction and repayment is made to correct contractual adjustments when necessary leaving the correct claim balance.
• Independently evaluate and resolve issues as needed. When appropriate, escalate issues to maintain acceptable support response time and customer satisfaction.
• Appropriately communicate with Supervisor and Team Lead with on going issues through their resolution.
• Work effectively across departments as needed to achieve common goals.
• Follows all internal policies and procedures to ensure timely completion of work.
• Provides internal assistance, when requested.
• Actively contribute to the Company's efforts to provide excellent client service.
• Comply with the ethical and legal requirements, specifically HIPPA regulations.

Job Qualification:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• High school Diploma or equivalent.
• One-year claim data entry experience in a healthcare setting or related field with approved experience.
• Must have excellent verbal and written communication skills.
• Ability to work both independently and as an excellent team player. Must be able to cooperate and work effectively with all levels of expertise within the organization.
• Ability to analyze issues logically and efficiently and address multiple priorities in a professional manner.
• Must be detailed oriented.