Payment Processor

Job Description Summary

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Worker Type

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Scheduled Weekly Hours

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Job Description

Entity/Organization:  MUSC Physicians (MUSCP)

Hours per week:  40

Scheduled Work Hours/Shift:  Monday - Friday 8:00am - 5:00pm 

Pay Basis/FLSA:  Hourly/Non-Exempt

Remote Option: This position offers a remote work schedule

Job Summary/Purpose: The Payment Processor responsibility is to receive and key enter payments and adjustments into the EPIC system for the purpose of updating accounts in a timely manner.

Required Minimum Training and Education: High school diploma or equivalent education required.  Minimum 2 years experience with MUSCP and Centricity Business applications preferred.  Knowledge of hospital/other systems necessary.  Analytical abilities, strong oral and written communication skills.  PC software knowledge. 

Required Licensure, Certifications, Registrations: N/A

Degree of Supervision: Must be able to work independently under the direction of the Department Supervisor and Manager.

Job Duties and Responsibilities: 

• Key Enter Functions.  Process insurance payments, denials, special billing payments, capitation payments, and denials as assigned in an accurate manner and from oldest deposit date to current.  Process adjustments on a daily basis.  Allocate patient payments when applicable to avoid creating credit balances.
• 835 Processing as assigned.  Monitor for processing issues.  Ensure files are processed within Organizational/Departmental guidelines.  Processes edits daily and ensure proper adjustments and/or FSC transfers are processed accurately
• Holdings/UFund Payments.  Utilize all resources available prior to assigning payments to a hold status.  Receive authorization from Supervisor/Manager prior to placing any payments in the UFund.  Unresolved holdings that are not approved for UFund placement after 30 days from date of deposit are to be returned to the carrier.
• Recoupments.  When back-up is available, recoupments are to be processed with the cash deposit and should not exceed 30 days from deposit date unless back-up is not available.  Recoupments >30 days are to be placed in the Recoupment UFund after authorization from Supervisor/Manager.
• Adjustments.  Accurately process adjustments daily.
• Audits.  Maintain accuracy rate of >=98% on audit reviews performed by the Quality Assurance Department
• Other duties as assigned

Additional Job Description

Benefits:

• Health, dental, vision, and life insurance
• Employer Sponsored Retirement Plan
• Paid time off and extended sick leave
• Paid Parental Leave
• Disability insurance plan options
• Continuous professional and clinical training
• Competitive pay
• Annual Merit Increase
• Wellbeing resources
• Tuition Reimbursement
• Employee perks and discounts
• Employee referral program
• Flexible schedule options
• Certification incentive program

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees