CPP Payment Specialist Remote

AdventHealth-posted about 1 year ago
Full-time
Remote • Altamonte Springs, FL
Hospitals
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The Payment Specialist is a key member of the Centralized Payment Posting team at AdventHealth, responsible for managing payment posting activities for various services. This role involves posting insurance and patient payments, handling patient refunds, and ensuring accurate reconciliation of payments. The position emphasizes the importance of customer satisfaction and teamwork while operating in a fast-paced environment.

  • Receive payments from third party payor lockbox and mail correspondence and post payments to patient claims in the patient accounting system
  • Review electronic remittances and resolve electronic posting exceptions and variances, posting payments to corresponding patient claims
  • Interpret Explanation of Benefits (EOBs) and transfer remaining patient and secondary insurance liability to the appropriate payor or next responsible party
  • Distinguish unidentified payments and post the payments to designated unidentified cash accounts
  • Post and process all zero-balance EOBs daily
  • Contact payors when additional information is necessary to address a payment posting issue
  • Perform effectively in fast-paced environment and demonstrate strong problem-solving skills
  • Achieve and maintain performance consistent with requirements for productivity, quality, and service levels
  • Develop and maintain productive team-oriented relationships through individual contacts and group meetings
  • Achieve superior customer satisfaction by embracing and exemplifying the AdventHealth service standards
  • Perform other duties as assigned
  • Available outside of normal business hours for occasional support needs
  • High School Grad or Equivalent
  • 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
  • Understanding of complexity around line level payment posting for physician posting
  • Knowledge of HCFA 1500 and UB04
  • Familiarity with insurance plans and EOBs
  • Experience in reconciling cash
  • Experience in reconciliation of payments to physician claims and hospital services
  • Benefits from Day One
  • Career Development
  • Whole Person Wellbeing Resources
  • Mental Health Resources and Support
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