Payment Support Specialist

About the role

Surgical Information Systems (SIS) is a leading provider of software and services for surgical providers, focusing on ambulatory surgery centers (ASCs) and hospital perioperative teams. SIS is recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and has received the Best in KLAS Award for ASC Solutions multiple times.

Responsibilities

• Maintain site-specific details for assigned clients
• Monitor and audit payment posting activities to ensure accuracy, consistency, and adherence to company and payer guidelines
• Read and interpret an EOB
• Provide feedback, guidance, and training support to payment posters to correct and prevent posting errors
• Retrieve daily banking and lockbox correspondence
• Verify that the correct contract rate is applied to billing
• Communicate with and provide documentation to the payment posting department
• Serve as the liaison for document management between the payment posting team and clients
• Ensure timely posting of patient and insurance payments
• Process virtual insurance credit card payments
• Resolve clarification log inquiries on a daily basis
• Able to solve problems related to assigned tasks
• Able to verify contractual adjustments at time of posting
• Perform payment corrections requested by AR Specialist
• Generate/balance EOM closing reports
• Communicate professionally with internal and/or external clients
• Pull case documents for audits as needed
• Complete posting for clients with offshore restrictions, as needed
• Monitor credit balances and unassigned payments
• Prepare refund packages to be sent to client
• Perform other assigned duties

Requirements

• High school diploma or GED equivalent
• Healthcare payment posting experience required
• Proven experience monitoring payment posting activities to ensure accuracy and consistency
• Knowledge of computers and Windows-driven software (MS Word, Excel, and Outlook)
• Excellent command of written and spoken English
• Cooperative work attitude with co-workers, management, patients, and external contacts
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions
• A high degree of flexibility and professionalism

Qualifications

• Experience working in an Ancillary or Ambulatory Surgery Center (ASC)
• Working knowledge of IPAs and health plans
• Comfortable with both electronic and manual payor follow-up
• Able to quickly identify trends and escalate as appropriate
• Ability to read, analyze and interpret insurance plans, financial reports, and legal documents

Skills

• None

Benefits

• None

Pay

• Commensurate with experience

Schedule

• Remote