Role Description The Payment Processor responsibility is to receive and key enter payments and adjustments into the EPIC system for the purpose of updating accounts in a timely manner. - Entity/Organization: MUSC Physicians (MUSCP) - Hours per week: 40 - Scheduled Work Hours/Shift: Monday - Friday 8:00am - 5:00pm - Pay Basis/FLSA: Hourly/Non-Exempt - Remote Option: This position offers a remote work schedule Job Duties and Responsibilities: - Key Enter Functions: - Process insurance payments, denials, special billing payments, capitation payments, and denials as assigned in an accurate manner and from oldest deposit date to current. - Process adjustments on a daily basis. - Allocate patient payments when applicable to avoid creating credit balances. - 835 Processing as assigned: - Monitor for processing issues. - Ensure files are processed within Organizational/Departmental guidelines. - Processes edits daily and ensure proper adjustments and/or FSC transfers are processed accurately. - Holdings/UFund Payments: - Utilize all resources available prior to assigning payments to a hold status. - Receive authorization from Supervisor/Manager prior to placing any payments in the UFund. - Unresolved holdings that are not approved for UFund placement after 30 days from date of deposit are to be returned to the carrier. - Recoupments: - When back-up is available, recoupments are to be processed with the cash deposit and should not exceed 30 days from deposit date unless back-up is not available. - Recoupments >30 days are to be placed in the Recoupment UFund after authorization from Supervisor/Manager. - Adjustments: Accurately process adjustments daily. - Audits: Maintain accuracy rate of >=98% on audit reviews performed by the Quality Assurance Department. - Other duties as assigned. Qualifications - High school diploma or equivalent education required. - Minimum 2 years experience with MUSCP and Centricity Business applications preferred. - Knowledge of hospital/other systems necessary. - Analytical abilities, strong oral and written communication skills. - PC software knowledge. Requirements - Must be able to work independently under the direction of the Department Supervisor and Manager. Benefits - Health, dental, vision, and life insurance - Employer Sponsored Retirement Plan - Paid time off and extended sick leave - Paid Parental Leave - Disability insurance plan options - Continuous professional and clinical training - Competitive pay - Annual Merit Increase - Wellbeing resources - Tuition Reimbursement - Employee perks and discounts - Employee referral program - Flexible schedule options - Certification incentive program

• Leverage your dental clinical expertise to review dental x-rays and documentation, assessing medical necessity for prior authorizations. • Perform initial reviews of medical necessity cases, ensuring they comply with member eligibility and the covered services outlined in each client contract. • Conduct reviews of prior authorizations by providers, determining cases of recommended treatment in accordance with Avesis UM procedural guidelines. • Document approval decisions for treatment in accordance with prescribed UM department procedural guidance, and forwards applicable files to the client health plan as required by each contract. • Maintain effective intradepartmental communications and actively participate in routine departmental meetings.

• Review incentive applications submitted by customers and contractors to confirm they are complete, accurate, and qualify for the program. • Enter and maintain data in incentive database(s) and process applications through to payment. • Communicate via email with customers and contractors to request missing information or clarify project qualification. • Maintain knowledge of program products, services, and processing procedures. • Communicate and help resolve disputed rebate claim data. • Provide guidance to customers and contractors in interpreting program policies to ensure participation and compliance. • Perform regular application auditing and quality control. • File applications, retrieve data, and run database queries and reports.

Role Description The Document Processor plays a vital role within our remote call/contact center team, focusing on the efficient handling of student enrollment documentation. Key responsibilities include: - Downloading, uploading, reviewing, and approving or rejecting student documents for enrollment. - Processing enrollment applications, managing student records, and maintaining accurate and compliant student files. - Accurately communicating document requirements and next steps to families primarily through chat-based platforms. - Managing high workloads with professionalism, accuracy, and efficiency. Qualifications - High School Diploma / GED and relevant work experience, OR - Minimum of 2 years of experience in a similar call center role. Requirements - High-speed internet connection (minimum 50Mbps download speed and 10Mbps upload speed). - Ethernet connection is preferred. - Maintain a distraction-free, professional home office during work hours. - Own or have daily access to a smart device (e.g., phone, tablet) capable of downloading and using apps. - Proficient in Microsoft Office Suite (Outlook, Word, Excel, Teams) and web-based systems. - Ability to clear required background check. Benefits - Flexible work environment. - Opportunity to contribute to the mission of helping families access quality education.