Payment Specialist
AdventHealth Corporate, Maitland, FL, United States
Our Promise To You
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 2600 LUCIEN WAY City: MAITLAND State: Florida Postal Code: 32751 Job Description
Receives payments from third-party payor lockbox and mail correspondence, posting payments to patient claims in the patient accounting system. Reviews electronic remittances, resolves electronic posting exceptions and variances, and posts payments to corresponding patient claims. Interprets Explanation of Benefits (EOBs) and transfers remaining patient and secondary insurance liability to the appropriate payor or next responsible party. Distinguishes unidentified payments and posts payments to designated unidentified cash accounts. Posts and processes all zero-balance EOBs daily. Contacts payors when additional information is necessary to address a payment posting issue. Develops and maintains productive team-oriented relationships through individual contacts and group meetings. Achieves superior customer satisfaction by embracing and exemplifying the AdventHealth service standards. Other duties as assigned. Knowledge, Skills, and Abilities
Proficient in MS Office Suite (Outlook, Excel, Word) [Required]
Ability to problem solve [Required]
Professional and effective in communication skills [Required]
Demonstrate a strong attention to detail and thoroughness [Required]
Effectively utilize available and relevant technical tools and resources (e.g. Microsoft Excel and other relevant software) [Required]
Strong data entry skills [Required]
Familiarity with insurance plans and EOBs [Required]
Medical terminology, knowledge of insurance and reimbursement procedures [Required]
Basic understanding of Epic patient accounting system [Required]
Understanding of complexity around line level payment posting for physician posting [Preferred]
Knowledge of HCFA 1500 and UB04 [Preferred] Education
N/A Field of Study
Education (Field of Study) Work Experience
Experience in posting insurance and patient payments, cash applications, cash posting for physician, home health and hospital services, including posting check and credit card payments, Electronic Fund Transfer (EFT), Automated Clearing House (ACH) and lock box payments [Required]
Experience in reconciliation of payments to physician claims and hospital services [Required]
Experience in reconciling cash [Required] Additional Information
N/A Licenses and Certifications
N/A Physical Requirements
Physical Requirements - https://tinyurl.com/23km2677 Pay Range: $19.22 - $35.75 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 2600 LUCIEN WAY City: MAITLAND State: Florida Postal Code: 32751 Job Description
Receives payments from third-party payor lockbox and mail correspondence, posting payments to patient claims in the patient accounting system. Reviews electronic remittances, resolves electronic posting exceptions and variances, and posts payments to corresponding patient claims. Interprets Explanation of Benefits (EOBs) and transfers remaining patient and secondary insurance liability to the appropriate payor or next responsible party. Distinguishes unidentified payments and posts payments to designated unidentified cash accounts. Posts and processes all zero-balance EOBs daily. Contacts payors when additional information is necessary to address a payment posting issue. Develops and maintains productive team-oriented relationships through individual contacts and group meetings. Achieves superior customer satisfaction by embracing and exemplifying the AdventHealth service standards. Other duties as assigned. Knowledge, Skills, and Abilities
Proficient in MS Office Suite (Outlook, Excel, Word) [Required]
Ability to problem solve [Required]
Professional and effective in communication skills [Required]
Demonstrate a strong attention to detail and thoroughness [Required]
Effectively utilize available and relevant technical tools and resources (e.g. Microsoft Excel and other relevant software) [Required]
Strong data entry skills [Required]
Familiarity with insurance plans and EOBs [Required]
Medical terminology, knowledge of insurance and reimbursement procedures [Required]
Basic understanding of Epic patient accounting system [Required]
Understanding of complexity around line level payment posting for physician posting [Preferred]
Knowledge of HCFA 1500 and UB04 [Preferred] Education
N/A Field of Study
Education (Field of Study) Work Experience
Experience in posting insurance and patient payments, cash applications, cash posting for physician, home health and hospital services, including posting check and credit card payments, Electronic Fund Transfer (EFT), Automated Clearing House (ACH) and lock box payments [Required]
Experience in reconciliation of payments to physician claims and hospital services [Required]
Experience in reconciling cash [Required] Additional Information
N/A Licenses and Certifications
N/A Physical Requirements
Physical Requirements - https://tinyurl.com/23km2677 Pay Range: $19.22 - $35.75 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.