CPP Payment Specialist Remote

AdventHealth-posted 8 months ago
$19 - $33/Yr
Full-time • Entry Level
Remote • Altamonte Springs, FL
Hospitals
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The Payment Specialist is part of a Centralized Payment Posting team responsible for payment posting activities for the majority of AdventHealth services provided. These activities include posting insurance and patient payments, managing patient refunds and credit balances, patient and insurance correspondence, reconciliation, and other miscellaneous functions. AdventHealth services included in the Centralized Payment Posting activities are hospital, physician, urgent care, home health, hospice, among others.

  • 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
  • Proficient in MS Office Suite (Outlook, Excel, Word)
  • Ability to problem solve
  • Professional and effective in communication skills
  • Demonstrate a strong attention to detail and thoroughness
  • Effectively utilize available and relevant technical tools and resources (e.g. Microsoft Excel and other relevant software)
  • Strong data entry skills
  • Medical terminology, knowledge of insurance and reimbursement procedures
  • Basic understanding of Epic patient accounting system
  • Benefits from Day One
  • Career Development
  • Whole Person Wellbeing Resources
  • Mental Health Resources and Support
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