Payment Application Specialist

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🔥 3 minutes ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Responsible for posting insurance and/or patient payments to Epic and balancing those postings to the bank deposits in a timely and accurate manner • Assists Departmental Coordinator in researching and resolving outstanding deposits and unidentified or missing payments • Processes electronic remittances initiating transaction posting in Epic • Works transactions that do not post correctly to ensure that transactions route to the appropriate accounts • Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account • Balances postings to bank deposits utilizing provided technical tools in Epic and via Microsoft Excel • Maintains timely and accurate posting according to departmental goals and report to management • Documents accounts clearly and accurately • Analyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department • Uses system software, including online credit card systems and the Epic system • Creates, enters, and assigns cash management batches • Opens and distributes mail received from the post office and financial institutions for the various entities services are billed for • Contacts the appropriate third party payors, business entities, or financial institutions to resolve unidentified or missing payments • Accesses any scanned information via One Content imaging system • Completes and reconciles bank deposits daily • Utilizes remittance work queues to resolve payment errors • Reviews and reconciles all postings monthly with the Departmental Coordinator as needed • Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth • Researches accounts in work queues with credit or undistributed self-pay balances, and works to resolve these balances by distributing to other outstanding account, refunding another approved facility, or refunding the guarantor • Investigates insurance overpayments and takes appropriate action from within the work queue to resolve the variance • Processes refund requests received from third party payors, clinical departments, other areas of Revenue Cycle, and leadership • Monitors accounts that fall within out special billing guidelines (i.e. cosmetic, bariatric, IVF, plastics, etc.) to insure pre-payment application is done within a timely manner • Works with the appropriate accountants to maintain a list of all unclaimed property, and maintain a spreadsheet for submission to the state • Takes calls from registration and customer service staff experiencing issues with cash drawers, and works to resolve the issues • Insures all refund requests are received from accounts payable, and processes the checks for submission to third party or guarantor • Maintains current knowledge of payor payment provisions and all local, state, and federal collection laws • Contacts insurance company or employer to determine eligibility, benefits, and payment information necessary to refund or distribute payments • Ability to accurately utilize payor portals to initiate overpayment recoveries • Identifies missing charges and communicates with appropriate coding manager for re-entry • Completes reports assigned by Revenue Cycle leadership for bulk refunds to third party payors • Monitors work queue for inappropriate hospital payments posted to professional billing, and works with appropriate entity for posting • Assists hospital cashier’s office in locating and resolving missing receipts • Aids accounting department in reconciling patient payments for the entity in which the receipt was deposited

🎯 Requirements

• High School Graduate or equivalent • One (1) year medical billing/medical office experience preferred • Bookkeeping and cash balancing experience • Excellent oral and written communication skills • Knowledge of medical terminology preferred • Knowledge of third party payers preferred • Knowledge of business math preferred • Knowledge of ICD-10 and CPT coding processes preferred • Working knowledge of computers

🏖️ Benefits

• Health insurance • Paid time off • Professional development opportunities