Claims Payment Processor

Claims Payment Processor

The Claims Payment Processor main duties are to report the processed claims to the payer, prepare EFTs (Electronic fund transfer) for claims, updates the accounting and other financial software, and send statement of accounts to our clients. This role has the overall responsibility of coordinating activities in an effective and efficient manner in carrying out the responsibilities of the Accounting Department.

What you Do:

• Send the processed claims reports to the payers within the TAT.
• Prepare the payments for the providers within the TAT.
• Ensures the financial transactions are booked in a timely manner and are compliant with proper supporting backup.
• Ensure control procedures are followed.
• Ensures all accounting deadlines are met.
• Provides professional correspondence internally and externally, i.e. members of insurance companies and their client-related claims.
• Resolves accounting discrepancies.
• Monitors transactions to determine accuracy, completeness and conformance to established policies and internal procedures.
• Keep track of records and files and provide correct information of record details when required.
• Maintains various account reconciliations and post necessary monthly journal entries.