Payment Specialist I
Advanced Spine And Pain (ASAP), Phoenix, AZ, United States
JOB TITLE: Payment Specialist I
FLSA STATUS: Non-Exempt
SUPERVISION EXERCISED: None
General Statement of Duties The Payment Specialist I position is responsible for posting all payments and correspondence to accounts efficiently and effectively and will assist with payer recoup and refunds. This role plays a critical part in ensuring accurate billing, timely reimbursements, and effective management of accounts receivable.
Essential Functions
Perform payment posting including contractual obligations, write-offs, refunds, recoupments, and denials in accordance with company procedures.
Post all correspondence in accordance with company procedures.
Retrieve and organize Explanation of Benefits (EOBs) from clients, clearing houses, and insurance portals.
Analyze and resolve payer recoupments and refund requests, reviewing for validity and taking necessary steps to work towards repayment.
Review, resolve and maintain clearing of unapplied payments monthly.
Manage un-postables in billing software, matching remits to EFT payments received.
Identify payers with payment posting issues.
Accurately correct payment posting errors.
Identify, research, and resolve payments that are missing remit information.
Identify and analyze trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements.
Documentation of all work performed in multiple billing software programs.
Education
High School Diploma / GED or equivalent working knowledge preferred.
Experience
3+ years’ experience with payment posting and account reconciliation.
Knowledge
Experience working with all commercial and government payor portals.
Experience in NextGen Office and AdvancedMD preferred.
Strong understanding of medical billing and coding systems.
Knowledge of insurance denials and reason coding.
Skills
Exceptional attention to detail and accuracy.
Excellent communication and problem-solving skills.
Ability to manage multiple tasks and prioritize effectively.
Experience with Microsoft Office 365 applications including Outlook, Word, Excel and Teams.
Abilities
Ability to interact effectively with management, physicians, and teammates at all levels.
Ability to communicate with teammates and management both in oral and written form.
Ability to meet deadlines in a fast-paced, quickly changing environment.
Ability to treat confidential information with appropriate discretion.
Environmental Working Conditions
Normal office environment.
Physical/Mental Demands
Good visual acuity, accurate color vision.
Requires sitting and standing associated with a normal office environment.
Some bending and stretching required.
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FLSA STATUS: Non-Exempt
SUPERVISION EXERCISED: None
General Statement of Duties The Payment Specialist I position is responsible for posting all payments and correspondence to accounts efficiently and effectively and will assist with payer recoup and refunds. This role plays a critical part in ensuring accurate billing, timely reimbursements, and effective management of accounts receivable.
Essential Functions
Perform payment posting including contractual obligations, write-offs, refunds, recoupments, and denials in accordance with company procedures.
Post all correspondence in accordance with company procedures.
Retrieve and organize Explanation of Benefits (EOBs) from clients, clearing houses, and insurance portals.
Analyze and resolve payer recoupments and refund requests, reviewing for validity and taking necessary steps to work towards repayment.
Review, resolve and maintain clearing of unapplied payments monthly.
Manage un-postables in billing software, matching remits to EFT payments received.
Identify payers with payment posting issues.
Accurately correct payment posting errors.
Identify, research, and resolve payments that are missing remit information.
Identify and analyze trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements.
Documentation of all work performed in multiple billing software programs.
Education
High School Diploma / GED or equivalent working knowledge preferred.
Experience
3+ years’ experience with payment posting and account reconciliation.
Knowledge
Experience working with all commercial and government payor portals.
Experience in NextGen Office and AdvancedMD preferred.
Strong understanding of medical billing and coding systems.
Knowledge of insurance denials and reason coding.
Skills
Exceptional attention to detail and accuracy.
Excellent communication and problem-solving skills.
Ability to manage multiple tasks and prioritize effectively.
Experience with Microsoft Office 365 applications including Outlook, Word, Excel and Teams.
Abilities
Ability to interact effectively with management, physicians, and teammates at all levels.
Ability to communicate with teammates and management both in oral and written form.
Ability to meet deadlines in a fast-paced, quickly changing environment.
Ability to treat confidential information with appropriate discretion.
Environmental Working Conditions
Normal office environment.
Physical/Mental Demands
Good visual acuity, accurate color vision.
Requires sitting and standing associated with a normal office environment.
Some bending and stretching required.
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