Accounts Receivable Payment Specialist

Care New England Health System•Warwick, RI

About The Position

The Accounts Receivable Payment Specialist ensures accurate and efficient payment processing by obtaining, preparing, posting, reconciling, and adjusting accounts while maintaining detailed documentation. The role collaborates with Care New England sites and practices, from registration through accounting, to ensure accurate payment postings. Strong problem-solving, reconciliation, communication, and documentation skills are important to success in the position.

Requirements

High school diploma required.
At least six months of job-related experience or equivalent required.
Excellent communication and organizational skills.
Specialized knowledge and thorough understanding of Microsoft Word and Excel.
Knowledge of cash balancing and reconciliation.
Knowledge of HIPAA and Meaningful Use regulations.
Knowledge of inventory management and control, and records management.
Strong planning and decision-making skills to prioritize work and adjust priorities based on competing demands.
Strong listening, written and verbal communication, and interpersonal skills to interact positively with patients and staff at all organizational levels.
Ability to prioritize work, adjust priorities based on policies and procedures, and complete responsibilities within required timeframes and established schedules or workflow requirements.
Ability to evaluate areas for improvement and provide input to improve current methods, services, programs, or technology.

Responsibilities

Post insurance and patient payments into all Accounts Receivable systems, including insurance denials.
Process insurance and patient refunds promptly.
Balance daily payments entered into Accounts Receivable systems.
Use balancing procedures to maintain monthly reports for Finance.
Follow Care New England guidelines for contractual adjustments and charge write-offs.
Verify the accuracy of deposits from other departments and take corrective action when needed.
Use system tools to audit patient accounts, update insurance demographics, and link charges appropriately.
Collaborate with Accounting to ensure general ledger account accuracy and assist with month-end reconciliations.
Manage account credits and document patient accounts with supporting records.
Review overpayments and process interfacility transfers as needed.
Coordinate with collectors to correct misposted payments, co-pays, or deductibles.
Handle NSF checks, update patient accounts, and notify patients as required.
Review outstanding refund checks and work with Accounting to issue stop payments when necessary.
Retrieve, edit, verify, and reconcile third-party payments, ensuring accurate posting of co-pays and deductibles.
Reconcile lockbox settlements and research discrepancies.
Resolve lockbox issues in coordination with facility payment specialists.
Compile information for the Revenue Cycle team as needed.
Perform other related duties as assigned.