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Payment Operations Specialist
2 months ago
Location: Remote
Employment Type: Contract role - Full time hours
Pay rate: $41/hr + super
Role Overview:
The Payment Operations Specialist is responsible for the provision of timely and accurate processing of high volume provider accounts and client reimbursements. The role also entails providing first call resolution and quality customer service to providers and clients through inbound and outbound calls. As account types and their level of complexity vary greatly, the Payment Operations Specialist is required to resolve account issues using strong problem-solving skills and stakeholder engagement to ensure all accounts are processed and paid in a timely manner.
Key Responsibilities:
- Accurate Data Entry: Accurately enter and update data into company systems, ensuring all records are current.
- Payment Processing: Process provider accounts and client reimbursements with precision.
- Medical Treatment Costs: Manage medical treatment costs to verify eligibility for the medical excess threshold.
- Electronic Data Interchange (EDI): Oversee the electronic data interchange (EDI) system, ensuring seamless payment processing for large providers.
- Provider Communication: Communicate directly with providers to resolve payment and data discrepancies.
- Business and System Reports: Review and action business and system reports to meet payment targets.
- Complex Account Issues: Provide expertise in resolving complex account and data entry issues.
- Continuous Improvement: Participate in continuous improvement initiatives and special projects.
Problem Solving:
- Rotate between data entry, payment processing, and problem-solving tasks, applying LEAN techniques.
- Identify and implement process improvements to enhance data accuracy and payment efficiency.
- Utilize inbound and outbound calls to support providers, clients, and internal stakeholders, reducing errors and resubmissions.
Customer Service:
- Deliver exceptional customer service and first-call resolution through a dedicated accounts phone line.
- Proactively address provider inquiries to expedite payments and resolve data entry issues.
- Participate in regular call coaching to maintain high customer service and data accuracy standards.
Key Selection Criteria:
- Having strong data entry speed is essential for the role.
- Relevant tertiary qualifications in business, administration, finance, or related fields.
- Experience in high-volume data entry and account processing with a focus on accuracy.
- Strong problem-solving skills with the ability to identify and resolve root causes promptly.
- Expertise in using relevant systems, including AVANTI, CPS, and MS Office programs.
- Demonstrated ability to provide quality customer service in a fast-paced environment.