Invoice Process and Payment Specialist

Altegra Health™ is a national vendor of technology-enabled, end-to-end payment solutions providing health plans and other risk-bearing organizations with the data they need to expertly manage member care and ensure appropriate reimbursement.

This is a fulltime, non-exempt (hourly) position based in our Alpharetta, GA location reporting to the Copy Center & Invoicing Manager. The Invoicing Process and Payment Specialist is responsible for processing, documenting, tracking and reconciliation of payments made by Altegra Health to retrieve medical records on behalf of Healthplans This position is responsible for building relationships through various means of communication (email, phone, voicemail, fax, etc) to ensure the chart is received in support of payments made to providers. This position is also responsible for ad-hoc audits (internal and external) to ensure appropriate payments, documentation and charts are received within the parameters of the Health plan payment guidelines.

• Will be responsible for managing work and aging (less than 24 business hours) within the invoicing assigned folders
  • Validation of accuracy of patient’s information in the OPM and that it matches the invoices and coversheet.
  • Verifying the invoice is within health plan limits
  • Documenting the OPM for paid, received invoices, or escalated issues
  • Data Entry information in Oracle for payment processing
  • Addressing, processing UPS labels for and sending payments to providers once processed by finance
• Process payments received from Invoicing Research Specialist, Copy Center portals, email, Client pend approval process and other means of invoices/ approval for payment received.
• Research and resolution for invoices with incomplete or incorrect demographic data.
• Participate in testing and training as assigned
• Reconcile monthly statements or client pend spreadsheets for payment
• Rectify or escalate Provider office concerns to the limits of job skills and authority
• Maintain the knowledge base concerning various health plans and their payment requirements
• Work in all areas with confidence of HIPAA compliance
• Other responsibilities and duties as assignedI

• High School Diploma – Associates degree preferred
• At least one (1) year work experience as a Scheduler, Field Coordinator, or equivalent position at Altegra Health
• At least one (1) year of work experience – customer service or call center
• At least 2-4 years of bill processing, accounting or payment experience

Knowledge, Skills and Abilities

• Excellent Microsoft Office Proficiency, specifically Excel & Outlook
• Ability to navigate through OPM, I-Tools and Oracle
• Excellent interpersonal, verbal and written skills
• Strong organization skills and an ability to work independently or under the direction of others
• Strong Analytical and problem solving skills through creative means of data searching, with minimal supervision
• Ability to multi-task, handle multiple priorities and meet deadlines