PIPP Payment & Records Clerk

at  Manitoba Public Insurance

Overview:
As the PIPP Payment and Records Clerk, you will contribute to the overall objective of converting all incoming injury claim documentation into an electronic format that is consistently stored in secured libraries and made available to all authorized users in BI3. The PIPP Payment and Records Clerk provides electronic document identification support to all ICM business units based on each unit’s specific requirements. Additionally, the position processes payments for all non-indemnity bodily injury entitlements.

Responsibilities:

• Process payments in accordance with established procedures, business rules, customer service standards, fee schedules and best practices guidelines.
• Verify vendor invoices and customer submitted accounts for completeness, validity, valuation, and authorization.
• Ensure that reserves, coverage and preauthorization of goods/services exist on a claim prior to processing an invoice for payment.
• Enter invoice data into the Injury Claims Management (IMC) system, BI3, and ensures that:
• Invoices are paid on the correct claim.
• Payment is made to the correct vendor.
• Correct bill item is utilized to ensure accurate allocation of the cover code.
• Amount payable reflects the amount on the invoice.
• Return improper invoices to the vendor to request amendment.
• Collaborate with case management staff to resolve coding, bill item, keyword, medical reports, reserving, and pre-authorization issues.
• Process payments and non-indemnity injury payments.
• Contact vendors in order to resolve invoicing discrepancies and enquiries.
• Receive and physically prepare documents for the scanning process. This includes batching documents based on document type and provider, and identifying and confirming claim numbers on all incoming documents.
• Review documents, and ensure that they are batched appropriately and ready for scanning.
• Review scanned images confirming legibility and resolution, correcting issues as required by contacting the originator of the information.
• Enter and confirm metadata for each document in the Kofax system, including the document’s associated claim number, document type, originator, medical treatment category, and date.

Qualifications:

• High school diploma or equivalent.
• Two years of office experience including electronic records administration or data entry, and dual verification/validating practices.

Employee Benefits:

• Process payments in accordance with established procedures, business rules, customer service standards, fee schedules and best practices guidelines.
• Verify vendor invoices and customer submitted accounts for completeness, validity, valuation, and authorization.
• Ensure that reserves, coverage and preauthorization of goods/services exist on a claim prior to processing an invoice for payment.
• Enter invoice data into the Injury Claims Management (IMC) system, BI3, and ensures that:
• Invoices are paid on the correct claim.
• Payment is made to the correct vendor.
• Correct bill item is utilized to ensure accurate allocation of the cover code.
• Amount payable reflects the amount on the invoice.
• Return improper invoices to the vendor to request amendment.
• Collaborate with case management staff to resolve coding, bill item, keyword, medical reports, reserving, and pre-authorization issues.
• Process payments and non-indemnity injury payments.
• Contact vendors in order to resolve invoicing discrepancies and enquiries.
• Receive and physically prepare documents for the scanning process. This includes batching documents based on document type and provider, and identifying and confirming claim numbers on all incoming documents.
• Review documents, and ensure that they are batched appropriately and ready for scanning.
• Review scanned images confirming legibility and resolution, correcting issues as required by contacting the originator of the information.
• Enter and confirm metadata for each document in the Kofax system, including the document’s associated claim number, document type, originator, medical treatment category, and date