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Memorial Health · 1 month ago

Payment Application Specialist

Springfield, IL

Full-time

Onsite

Entry Level

$16.50/hr - $24.82/hr

2+ years exp

Memorial Health is dedicated to providing quality healthcare services, and they are seeking a Payment Application Specialist to ensure timely and accurate posting of payments within their billing system. The role involves processing various financial transactions, reconciling accounts, and maintaining adherence to performance excellence standards.

EducationHealth CareHealth DiagnosticsHospitalMedicalNon ProfitPrimary and Urgent CareWellness

Growth Opportunities

Responsibilities

Accesses Web Based Portals and Downloads ERA, ACH and report files from payors

Prepares files for processing, initiates and monitors Posting Software Applications ensuring careful adherence to guidelines, timeliness, accuracy, and processing procedures. At prescribed intervals, follows up for review to ensure smooth processing and timely delivery of outstanding payments

Investigates assigned payments with incomplete or questionable information and resolves problems or errors to ensure complete information accompanies the payment

Calculates contractual adjustments and applies to patients’ online accounts, notating the electronic file accordingly

Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others

COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude

QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results

EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays

Receives, sorts, and stamps incoming United States Post Office and Inter-department mail. Identifies and Batches 3 rd Party and Patient payments for processing. Bundles and/or delivers mail correspondence team for attention and handling

Processes and analyzes explanation of benefit (EOB) forms to determine reasons for denial, exclusion, or under payment

Follows up on outstanding or unapplied payments and other issues associated with payments

Researches and resolves complex issues associated with payments on patient accounts. As applicable, identifies, documents, and reports problematic trends to management

Analyzes reports containing rejected payment information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information

Prepares daily bank deposit and arranges for daily delivery or pick to/from the Security Department. Ensures the security of deposit at all times

Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing patient payments

Communicates and resolves issues with a variety of internal sources to resolves issues involving patient payments

Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted

Adhere to HIPAA Privacy Regulations and maintain patient confidentiality

Identifies and calculates write-off amounts and secures the necessary approvals from management for processing

Documents online systems and electronic files to ensure accurate data is noted regarding the status of payments

Performs a variety of filing and/or retrieval of electronic and paper forms and files. Maintains files according to prescribed procedures and may arrange for long-term storage of EOBs or other items

As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back up for other areas within the unit or department, especially during times of special needs or staff absences

Performs other related work as required or requested

Qualification

Billing experienceInsurance processingElectronic Remittance AdviceMicrosoft OfficeMath skillsKeyboarding skillsCommunication skills

Required

Education equivalent to graduation from high school or GED is required

Two (2) years of experience in billing, insurance, collections, or related background required

Ability to read and interpret ERAs (Electronic Remittance Advice), ACHs (Automated Clearing House) transactions, EFTs (Electronic Fund Transfers), and EOBs (Explanation of Benefits)/EOPs (Explanation of Payment)

Demonstrates the ability to accurately type net 30 WPM (alphanumeric)

Demonstrates the ability to accurately key net 6000 KPH (numeric)

Basic working knowledge of personal computers and their associate user software is required

Demonstrated ability to work successfully with internal customers and external contacts is required

Demonstrates excellent oral and written communication, keyboarding, and basic math skills