Payment Reconciliation Specialist

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

About The Position

The Payment and Reconciliation Specialist I is responsible for the accurate and timely preparation, posting, and reconciliation of patient and insurance payments and related deposits. The position also reconciles and balances Electronic Funds Transfers (EFTs), Electronic Remittance Transfers (ERAs), credit card payment files, and daily lockbox batches. Cash follow-up, including calling insurance companies, is required. This is an entry-level position based at St. Luke's Center in Allentown, Pennsylvania. After at least six months onsite, remote or hybrid remote work may be available at the manager's discretion for candidates in Pennsylvania or New Jersey. Core hours are Monday through Friday, 7:00 a.m. to 3:30 p.m., with flexible schedules available. There are no weekends, holidays, or nights.

Requirements

  • High school diploma 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.
  • Ability to call insurance companies as part of cash follow-up.

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 lockboxes.
  • 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.
  • Ensure accurate posting of 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 in a timely manner.
  • Account for monies using appropriate General Ledger code sets and facility account assignments.
  • Post wire transfers and manual deposits, including preparing checks received for deposit.
  • Perform cash follow-up, including calling insurance companies.
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