Billing Specialist

The Payment & Refund Control Specialist is responsible for daily validation of multiple

claims payment

cycles, which includes accurate, efficient and timely end-to-end processing of claims

refunds

and stop

payment

requests.

The payment activities include, but are not limited to, timely balancing and verifying payment data (daily and monthly adjudication controls to check register), evaluating the results of claim adjustment transaction on payments, assisting with problem resolution with the appropriate information systems staff, and communication of same to various operational areas.

Minimum one (1) year recent

bookkeeping or account receivable

experience.

Microsoft

Excel

experience required.

Claims

processing or claims adjustment experience preferred.

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