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Specialist, Billing

Company: Priority Management Group
Location: Pawtucket
Posted on: November 23, 2019

Job Description:

At PMG, we strive to maintain a culture in which team members share pride in and responsibility for the companys success. We make a significant investment in our people, which we hope inspires them to serve our clients more effectively and give back to their community. Essential Duties & Responsibilities: Charges

  • Monitoring Charge log on a daily basis to verify timely receipt of charges from clients as well as timely processing of charges by Operations team.
  • Monitoring results daily as compared to targets; alerting or taking appropriate actions when inconsistencies are identified.
  • Completing client specific charge processing tasks on a daily basis such as importing review process, EMR corrections and any other client specific tasks.
  • Completing exceptions daily including internal resolution as well as client resolution (i.e. Returned Items) within standard timelines.
  • Confirming processes completed for month end.
  • Participating in quality review including standard and ad hoc auditing of charges.
  • Participating in the creation and maintenance of charge rules. Payments
    • Processing deposits for select client for bank deposit according to standard timelines.
    • Monitoring deposit log daily to verify timely receipt of payments from clients as well as timely processing of payments by Operations team.
    • Monitoring results daily compared to targets; alerting or taking appropriate actions when inconsistencies are identified.
    • Completing client specific tasks including credit card processing.
    • Completing exceptions daily including internal resolution as well as client resolution (i.e. Returned Items) within standard timelines.
    • Confirming processes completed for month end.
    • Processing of credit balances and refunds.
    • Processing of unapplied, unassigned/unposted payments.
    • Participating in quality review including standard and ad hoc auditing of charges.
    • Participating in the creation and maintenance of charge rules.
    • Processing credit card payments.
    • Reconciling deposit log on a weekly basis. Other:
      • Participating in phone coverage.
      • Processing attorney requests and bankruptcy notices.
      • Processing returned patient statements.
      • Overseeing statement processing.
      • Processing paper claims.
      • Responsible for higher claims and payments task volume. Supervisory Responsibilities:
        • Billing Specialists receive general supervision - routine duties are performed with minimal supervision; standard practices or procedures allow BSRs to proceed alone at routine work; occasional check of work while in progress; work is reviewed upon completion.
        • Billing Specialists are supervised by and report to the Director of RCM. Other Duties and Responsibilities:
          • Complying with HIPAA policies, PMG Policies and federal/state laws.
          • Participating in proactive team efforts to achieve departmental and company goals.
          • Regular office attendance required.
          • Performing other duties as assigned.

Keywords: Priority Management Group, Pawtucket , Specialist, Billing, Accounting, Auditing , Pawtucket, Rhode Island

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