Payment Application Specialist

EyeSouth Partners•Atlanta, GA

13d•Remote

About The Position

Responsible for daily payment, posting and reconciliation to ensure accurate accounts receivable reporting. Applicants who live and plan to work from the following states will not be considered at this time: Alaska, Arizona, California, Colorado, Delaware, Hawaii, Idaho, Montana, Maryland, Massachusetts, Michigan, Nevada, New Mexico, Oregon, New Hampshire, New Jersey, Utah, New York, Rhode Island, Washington, and Wyoming. Thank you for your interest.

Requirements

Minimum of one (1) year Payment Posting experience in a multi-location medical practice or health system.
Knowledge of insurance payers and cash posting guidelines.
Strong knowledge in analyzing explanation of benefits (EOB's).
Prior experience with an electronic medical record system required (EHR/EMR)
Working knowledge of CPT and ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Intermediate mathematical skills.
Ability to handle sensitive and confidential information in a professional manner.
Maintains knowledge of coordination of benefits requirements and processes.
Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
Self-motivated with strong organizational skills and superior attention to detail.
Ability to review documents for accuracy and reasonability.
Ability to work well under pressure.
Ability to multi-task, set priorities and follow through without direct supervision.
Effectively communicate with physicians, patients, insurers, colleagues, and staff.
Intermediate computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
Knowledge of policies and procedures to accurately answer questions from internal and external customers.
Detail oriented and tolerant of frequent interruptions and distractions from patients and staff.
Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams.

Responsibilities

Posts EOB/ERA, check, credit card and lockbox payments electronically or manually using Practice Management System (PMS).
Balances payment batches against daily deposits.
Independently evaluates EOB's from third party payers and communicates effectively and timely to the collections team and management when a contractual error is noted.
Determines denial codes used for each transaction that will determine a patient's balance and/or possible patient balance due statement to be processed.
Researches unidentified payments and/or recoupments to determine correct transaction.
Maintains high level of productivity through speed and accuracy.
Contributes to the team effort by completing various tasks/projects as needed.