Payment Clerk

About the role

The Payment Clerk at Enlyte supports healthcare providers and internal stakeholders by managing claim inquiries, verifying payment information, processing payment-related data, and maintaining accurate records.

Responsibilities

• Answer incoming calls on the Provider Status Line in a professional, courteous, and timely manner.
• Respond to incoming provider calls on the Claims Line and address questions regarding claims, payments, and bill status.
• Manage and respond to claim inquiry emails, ensuring requests are processed correctly and efficiently.
• Research claim numbers, bill status, and payment information to provide accurate updates to providers.
• Explain bill processing stages, timelines, and next steps to providers.
• Provide clear and accurate information regarding claim status, payment activity, and processing requirements.
• Maintain detailed notes and records of provider interactions and inquiries.
• Review previous payment history to identify duplicate payments, adjustments, or payment discrepancies.
• Analyze claim comments and system notes to ensure providers receive accurate and complete information.
• Research claim numbers and route claims to the appropriate adjusters for pre-processing activities.
• Verify tax identification numbers (Tax IDs) within the SAMII system for bills assigned to vendor priority queues.
• Confirm tax ID details, including verification of the last two digits for processing accuracy.
• Determine whether vendor tax IDs have been removed from hold status and are eligible for payment processing.
• Verify tax ID updates and ensure accurate vendor information is maintained within company systems.
• Enter payment-related data into company systems with a high level of accuracy and attention to detail.
• Process manual data entry for priority payments and front desk payment submissions.
• Support payment processing and data entry teams by conducting information lookups, verifications, and research activities.
• Maintain data integrity by ensuring all payment and claim information is entered and updated correctly.
• Monitor and manage email communications throughout the workday.
• Respond promptly to claim inquiries and provider requests.
• Communicate effectively with providers, adjusters, supervisors, and other internal departments.
• Escalate complex claims, payment issues, or provider concerns to appropriate personnel when necessary.
• Cook up with internal teams to facilitate efficient claim and payment resolution.
• Review calendars regularly to stay informed of meetings, schedule changes, and department updates.
• Maintain an organized inbox by managing and archiving email communications appropriately.
• Organize and maintain documentation, correspondence, and records related to provider inquiries and payment processing.
• Ensure all records are accurate, complete, and readily accessible for auditing and operational purposes.

Qualifications

• A High School Diploma or GED is required.
• One year of administrative, customer service, claims processing, payment processing, or related experience is preferred.
• Experience working with payment systems, claims management systems, or healthcare-related platforms is preferred.
• Strong proficiency with Microsoft Office applications, including Outlook, Word, and Excel.
• Ability to accurately enter and verify data with exceptional attention to detail.
• Excellent verbal and written communication skills.
• Strong organizational and time management abilities.