Payment Solutions Specialist – Accuracy & Resolution

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🕒 vor 9 Tagen

🗽 New York – Remote

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💵 $18 - $23 / Stunde

⏰ Vollzeit

🟢 Junior

🚫👨‍🎓 Kein Abschluss erforderlich

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 12%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Village Medical

Village Medical

51 - 200 Mitarbeiter

Gegründet 2014

🏥 Gesundheitswesen

⚕️ Krankenversicherung

Healthcare • Healthcare Insurance

Village Medical revolutioniert die Primärversorgung, indem es den Zugang zur Versorgung erleichtert und sie persönlicher gestaltet, insbesondere für Erwachsene über 65 Jahre. Mit Dienstleistungen, die Besuche in der Klinik, zu Hause und virtuell umfassen, stellt Village Medical eine umfassende und koordinierte Versorgung durch einen Teamansatz sicher. Sie legen Wert auf Wohlbefinden, indem sie personalisierte Pflegepläne anbieten und die meisten Versicherungen, einschließlich Medicare Advantage-Plänen, akzeptieren. Ihre weitreichende Präsenz an über 680 Standorten, viele davon innerhalb von Walgreens, ermöglicht es ihnen, für ihre Patienten leicht zugänglich zu sein. Das Engagement von Village Medical für seine Patienten wird durch die Möglichkeit, Termine und Rezepte über ihre kostenlose App zu verwalten, verstärkt, was die Bequemlichkeit und Vernetzung im Gesundheitsmanagement erhöht.

Beschreibung

• Research and resolve payment discrepancies and account variances to ensure accurate account balances and payment application. • Work assigned Athenahealth worklists, reviewing patient accounts and determining appropriate resolution based on payment, adjustment, and account activity. • Investigate unapplied, misapplied, unidentified, and unallocated payments and take corrective action when appropriate. • Review and process patient and insurance refunds in accordance with departmental policies and regulatory requirements. • Verify deposits and reconcile payment activity utilizing bank portals, payer portals, internal reporting, and supporting systems. • Retrieve remittance information and supporting documentation necessary to complete payment research and account resolution. • Utilize Athenahealth as the primary workflow platform while leveraging Tableau and LK Oasis to support account analysis and research. • Monitor and respond to departmental communications, including shared mailboxes within established service level expectations. • Identify recurring payment or account issues and communicate trends, workflow barriers, and improvement opportunities to leadership. • Collaborate with internal Revenue Cycle departments, vendors, payers, and other stakeholders to resolve account-related issues. • Support audits, special projects, process improvement initiatives, and cross-functional departmental activities as assigned. • Maintain established productivity, quality, and accuracy standards. • Adhere to HIPAA regulations, company policies, and confidentiality requirements while safeguarding Protected Health Information (PHI). • Perform prolonged sitting, computer use, keyboarding, data entry, and repetitive tasks throughout the workday.

🎯 Anforderungen

• High School Diploma, GED, or equivalent required. • Minimum one (1) year of experience in healthcare revenue cycle, medical billing, payment posting, payment reconciliation, refunds, banking, accounting, collections, or a related field. • Strong analytical and problem-solving skills. • Ability to interpret payment activity, identify discrepancies, and determine appropriate resolution. • Proficiency with Microsoft Office applications, including Excel and Outlook. • Excellent written and verbal communication skills. • Strong organizational skills and attention to detail. • Ability to prioritize workload, manage multiple assignments, and meet deadlines. • Ability to work independently while contributing to a collaborative team environment. • Demonstrated commitment to quality, accuracy, and continuous improvement. • Ability to communicate effectively in a virtual environment. • Preferred: Experience working within Athenahealth. • Preferred: Experience managing payment-related worklists and account resolution activities. • Preferred: Knowledge of patient and insurance refund processes. • Preferred: Banking, cash application, reconciliation, or payment research experience. • Preferred: Familiarity with payer portals, remittance processing, and healthcare reimbursement workflows.

🏖️ Vorteile

• Medical coverage • Dental coverage • Life insurance • Disability coverage • Vision coverage • FSA coverage • 401k savings plan

Jetzt Bewerben

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