Payment Reconciliation Specialist

CPS•Louisville, KY

About The Position

Commonwealth Pain & Spine is a pain management network focused on improving patients’ lives through respectful care and innovative, safe, responsible, clinically proven pain relief. Its team of physicians, administrators, and staff uses a multimodal, team-based approach to chronic pain and aims to exceed the expectations of patients, the medical community, referring physicians, and customers. The Payment Reconciliation Specialist reviews insurance explanation of benefits, obtains payment documentation through online portals, posts payments, and reconciles deposits and accounts. The role also processes recurring credit card payments, handles billing calls and voicemails, reviews accounts before collections, and helps submit accounts to collections. The specialist maintains confidential and accurate records, communicates professionally, and performs other assigned duties, including work for affiliates and related third parties.

Requirements

High school diploma or general education degree (GED).
At least 3 years of relevant work experience in healthcare.
Knowledge of insurance plans and their rules.
Basic CPT and ICD-10 coding knowledge.
Working knowledge of EMR and/or billing systems.
Strong computer and phone skills, including experience with Microsoft Office Suite.
Exceptional communication and interpersonal skills.
Ability to handle multiple simultaneous tasks effectively and efficiently while remaining professional and courteous.
High integrity, including the ability to maintain confidential information.
Regular and reliable attendance.
Professional judgment and good problem-resolution skills.
Ability to work independently and as part of a team, with flexibility and willingness to learn and take initiative.

Responsibilities

Review insurance explanation of benefits (EOBs) to ensure accurate payment posting.
Access online portals to obtain payment documentation.
Communicate with team members and facilities to obtain information needed to post payments accurately.
Use the billing system accurately.
Review and reconcile deposits.
Reconcile deposit accounts against the general ledger monthly.
Process recurring credit card payments for all locations.
Manage billing phone calls and voicemails.
Review patient accounts before submitting them to collections.
Assist with submitting accounts to collections.
Maintain confidentiality of patient care and business information.
Maintain accurate and thorough records.
Communicate professionally with clients, the public, managers, coworkers, patients, vendors, and employees.
Perform other assigned duties, including duties for affiliates, assigns, lessees, contractors, or third parties.