Payment Reconciliation Specialist

St. Luke's University Health Network•Allentown, PA
•Hybrid

About The Position

The Payment and Reconciliation Specialist I is responsible for accurately and promptly preparing, posting, and reconciling patient and insurance payments and related deposits. The role also reconciles and balances Electronic Funds Transfers (EFTs), Electronic Remittance Transfers (ERAs), credit card payment files, and daily lock box batches. Cash follow-up is part of the position, and calling insurance companies is required. This is an entry-level position requiring proficient PC skills, strong organization and attention to detail, and sound research and problem-solving skills. One year of medical cash posting or line-item posting experience is preferred. The position is based at St. Luke's Center in Allentown, Pennsylvania. Remote or hybrid remote work may be available to Pennsylvania and New Jersey candidates after at least six months onsite, at the manager's discretion.

Requirements

  • High school graduate or equivalent.
  • Proficient PC skills.
  • Strong organizational skills and attention to detail.
  • Knowledge of Microsoft Excel and Word.
  • Good research skills and excellent problem-solving skills.

Nice To Haves

  • One year of medical cash posting or line-item posting experience.

Responsibilities

  • Identify and import electronic remittances from contracted third-party payer websites.
  • Retrieve and upload patient and insurance payment files from multiple lock boxes.
  • Analyze and process payments, adjustments, rejections, and deductibles that were not posted electronically.
  • Identify, prepare, and post payments to accounts receivable for services billed by the Business Office, and accurately post non-patient cash payments.
  • Apply payments, balance cash receipts, and verify and reconcile each payment batch for accuracy.
  • Use electronic credit card approval systems to post and balance credit card transactions to accounts receivable.
  • Post non-payment explanations of benefits (EOBs) and enter accurate rejection codes so accounts flow to the correct Accounts Receivable Analyst.
  • Research and resolve unapplied or unidentified payments promptly.
  • Account for monies accurately using General Ledger code sets and facility account assignments.
  • Post wire transfers and manual deposits, including preparing checks for deposit.
  • Perform cash follow-up, including calling insurance companies.
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