Payment Detail Specialist

Intermountain Health • Jacobus, PA

4d • $22 - $33 • Onsite

About The Position

This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient’s account within Intermountain policies and procedures. Essential Functions Identifies appropriate payment detail and saves back-up as appropriate. Balances payments to deposits in systems and applications. Resolves escalated requests from A/R and posting teams as well as TPBs for missing or inaccurate remittance advice. Researches and follows-up on missing information, such as EOB and insurance remittances. Contact payers as necessary to obtain detailed info in regard to payments. Identifies errors from payers and performs root cause analysis. Coordinates with payers and/or clearinghouse to resolve payment errors. Evaluates payment types, patient vs non patient, obtains back up and assigns work accordingly. Identifies payment type and error type and coordinates/partners accordingly for resolution with clearinghouse, payer directly or EDI team. Identifies missing expected weekly/monthly payments and performs appropriate follow up i.e: collection agencies, capitation, bonuses, etc. Performs check matching activities when system automation cannot. Supports training and mentoring of new team members. Meets department's productivity and quality goals. Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. Collaborate with other teams across the organization Participate in meetings and educational requirements Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. Performs other duties as assigned.

Requirements

• General computer skills.
• Typing, 10-key, and MS Office products including Word and Excel Required
• In depth knowledge of clearing houses and payer processes
• Ability to read and interpret 835s and Explanation of Benefits (EOBs)
• Must be able to communicate effectively with face-to-face interaction, outbound calls, and/or electronic messaging
• Working knowledge of converting files from text to pdf
• Knowledge of general medical billing, insurance, and compliance regulations and coding.
• Medical terminology
• Computer Literacy and Troubleshooting
• Working knowledge of Commercial and Government payer portal
• High School Diploma or equivalent is required
• Two (2) years back-end revenue cycle experience OR Three (3) year previous patient cash handling experience is required
• Interact with others by effectively communicating, both orally and in writing
• Operate computers and other office equipment requiring the ability to move fingers and hands
• See and read computer monitors and documents
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment
• May require lifting and transporting objects and office supplies, bending, kneeling and reaching

Nice To Haves

• Vocational training/education in insurance billing and collections is preferred

Responsibilities

• Identifies appropriate payment detail and saves back-up as appropriate.
• Balances payments to deposits in systems and applications.
• Resolves escalated requests from A/R and posting teams as well as TPBs for missing or inaccurate remittance advice.
• Researches and follows-up on missing information, such as EOB and insurance remittances.
• Contact payers as necessary to obtain detailed info in regard to payments.
• Identifies errors from payers and performs root cause analysis.
• Coordinates with payers and/or clearinghouse to resolve payment errors.
• Evaluates payment types, patient vs non patient, obtains back up and assigns work accordingly.
• Identifies payment type and error type and coordinates/partners accordingly for resolution with clearinghouse, payer directly or EDI team.
• Identifies missing expected weekly/monthly payments and performs appropriate follow up i.e: collection agencies, capitation, bonuses, etc.
• Performs check matching activities when system automation cannot.
• Supports training and mentoring of new team members.
• Meets department's productivity and quality goals.
• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
• Collaborate with other teams across the organization
• Participate in meetings and educational requirements
• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
• Performs other duties as assigned.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
• The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
• Caregivers are eligible to participate in PEAK on day 1 of employment.
• Learn more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees