Payment Specialist

3HC Home Health and Hospice is a provider of compassionate care to North Carolinians since 1981, dedicated to ensuring patients enjoy life’s journey, recover quickly, and live comfortably through high-quality, cost-effective care that surpasses industry standards.

About the role

The Payment Specialist is responsible for the accurate, timely application of payments and adjustments to patient accounts across all programs.

Requirements

• High school diploma or equivalent required; Associate’s degree preferred
• Experience in accounts receivable preferred
• Experience working with medical insurance and/or posting payments required
• Experience using medical billing software and/or electronic medical records (EMR), and Microsoft Office applications required
• Ability to maintain confidentiality

Responsibilities

• Abide by and support 3HC’s Compliance Program and Code of Ethics, ensuring adherence to all applicable laws and regulations
• Create positive experiences for internal and external customers (patients, families, referral sources, vendors, community, and agency staff)
• Display courtesy, tact, and knowledge of agency services in all interactions
• Manage the payment process:
  • Review remittance files and explanation of benefits (EOBs)
  • Verify automatic posting of payments in EMR
  • Record adjustments as needed
  • Post cash and other non-electronic remits per daily deposit log
  • Reconcile posted payments to bank totals monthly
  • Meet monthly deadlines for closing all payment batches
• Notify supervisor when visit reason codes, reimbursement, or contractual amounts need revision
• Respond appropriately to patient/family requests and agency staff regarding patient accounts
• Post refunds as needed and document activity in EMR
• Complete adjustments, transfers, and refunds within three (3) business days and prior to month-end
• Assist supervisor with training and task assignments for payment/cash applications
• Maintain deposit logs in shared folder
• Demonstrate personal and professional growth:
  • Attend and participate in workshops, seminars, and webcasts to stay current on rules and regulations
  • Conduct individual reading and research
  • Recommend educational opportunities for staff and encourage participation
• Promote cost-effectiveness by monitoring waste and ensuring proper use of supplies and equipment
• Adhere to 3HC’s Personnel Policy and perform other duties as assigned to support agency operations and growth