Payment Application Specialist

About the role

The role involves posting insurance and/or patient payments to Epic and balancing those postings to the bank deposits in a timely and accurate manner. Duties also include assisting the Departmental Coordinator in researching and resolving outstanding deposits and unidentified or missing payments.

Responsibilities

• Processes electronic remittances initiating transaction posting in Epic
• Works transactions that do not post correctly to ensure they route to the appropriate accounts
• Identifies any unidentified payment transactions that route to the clearing account and follows facility processes to move non-patient money to the correct general ledger account
• Balances postings to bank deposits utilizing provided technical tools in Epic and via Microsoft Excel
• Maintains timely and accurate posting according to departmental goals and reports to management
• Documents accounts clearly and accurately
• Analyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department
• Uses system software, including online credit card systems and the Epic system
• Creates, enters, and assigns cash management batches
• Opens and distributes mail received from the post office and financial institutions for the various entities services are billed for
• Contacts the appropriate third party payors, business entities, or financial institutions to resolve unidentified or missing payments
• Accesses any scanned information via One Content imaging system
• Completes and reconciles bank deposits daily
• Utilizes remittance work queues to resolve payment errors
• Reviews and reconciles all postings monthly with the Departmental Coordinator as needed
• Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth
• Researches accounts in work queues with credit or undistributed self-pay balances and works to resolve these balances by distributing to other outstanding accounts, refunding another approved facility, or refunding the guarantor
• Investigates insurance overpayments and takes appropriate action from within the work queue to resolve the variance
• Processes refund requests received from third party payors, clinical departments, other areas of Revenue Cycle, and leadership
• Maintains current knowledge of payor payment provisions and all local, state, and federal collection laws
• Contacts insurance company or employer to determine eligibility, benefits, and payment information necessary to refund or distribute payments
• Able to accurately utilize payor portals to initiate overpayment recoveries
• Identifies missing charges and communicates with appropriate coding manager for re-entry
• Completes reports assigned by Revenue Cycle leadership for bulk refunds to third party payors
• Makes sure all refund requests are received from accounts payable and processes the checks for submission to third party or guarantor
• Maintains current knowledge of current online banking systems
• Takes calls from registration and customer service staff experiencing issues with cash drawers and works to resolve the issues
• Maintains current knowledge of patient accounting principles and procedures
• Works with the appropriate accountants to maintain a list of all unclaimed property and maintain a spreadsheet for submission to the state

Requirements

• High School Graduate or equivalent
• One (1) year medical billing/medical office experience preferred
• Bookkeeping and cash balancing experience

Qualifications

• Knowledge of medical terminology preferred
• Knowledge of third party payers preferred
• Knowledge of business math preferred
• Knowledge of ICD-10 and CPT coding processes preferred
• Excellent oral and written communication skills
• Excellent customer service and telephone etiquette
• Working knowledge of computers
• Maintains knowledge of current online banking systems

Skills

• Excellent oral and written communication skills
• Knowledge of medical terminology preferred
• Knowledge of third party payers preferred
• Knowledge of business math preferred
• Knowledge of ICD-10 and CPT coding processes preferred
• Excellent customer service and telephone etiquette
• Working knowledge of computers
• Maintains knowledge of current online banking systems

Benefits

N/A

Pay

N/A

Schedule

N/A