Payer Services Specialist

Revenue Cycle Dallas, Texas Reference ID: JR3311-POS013260


Description

Perform Electronic Funds Transfer (EFT) and Electronic Remittance Allowance (ERA) enrollments with various commercial and government payers. Also perform various responsibilities to include managing new and existing website access and username/password reset requests. Acts as a primary point of contact for all website access inquiries and requests, updates information regarding completed website access. Respond to questions and inquiries regarding status of requests, needed access, and any username/password requirements.

CORE VALUES:

Agility - This position will be required to be agile and adapt to ever changing payer requirements and portal updates.

Respect - The expectation of the Payer Services Specialist is to treat colleagues, management, and vendors/clients with the utmost respect at all times.

Collaboration - Payer Services Specialist must collaborate with fellow team members, SCP colleagues, and/or vendors/clients to ensure tasks are completed accurately and in a timely manner.

Courage - Cash Application Leadership empowers each colleague to have the courage to present ideas that would enhance the department including, but not limited to, productivity, process(s), and/or promotes engagement.

Primary Functions:

  • Complete all necessary tasks to process the incoming cases received by each department within the queue.
  • Monitor all incoming requests and validate that all information is appropriately documented.
  • Ensure that all requests have a case number associated with it.
  • Track status of request to completion and update notes and status in the case management tool.
  • Verify with case originator that access is properly working and update case appropriately.
  • Identify any gaps in website access by State, Payer and Facility levels.
  • Update the case management tool with all detailed information upon completion.
  • Research and update any changes to website access and security needs as necessary.
  • Provide Problem Resolution and ownership from case assignment to closure in all matters.
  • Maintain strict patient confidentiality
  • Ensure all corporate guidelines are maintained and practiced daily
  • Maintain a Team Player attitude at all times
  • Communicate professionally with management, Offshore, and peers
  • Perform all other duties as assigned

Knowledge Skills and Abilities:

  • Research and analytical skills
  • Detail oriented
  • Excellent organizational skills
  • Ability to work as a team player
  • Strong problem resolution skills

Educational and/or Professional Qualifications:

  • High School Diploma or GED

WORK EXPERIENCE/QUALIFICATIONS:

  • 1 to 2 years of web access/insurance website admin experience (preferred)
  • Intermediate knowledge of Microsoft Office (Outlook, Microsoft Word, & Excel)
  • Research and analytical skills
  • Detail oriented
  • Excellent organizational skills
  • Ability to work as a team player
  • Strong problem resolution skills
INDJV