Payment Application Specialist

🕒 il y a 15 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of WVU Medicine

WVU Medicine

10 000+ employés

🏥 Santé

⚕️ Assurance santé

Healthcare • Healthcare Insurance

WVU Medicine est un système de santé complet affilié à l'Université de Virginie-Occidentale, offrant des services médicaux via un réseau d'hôpitaux à travers la Virginie-Occidentale. Ce système comprend des établissements notables tels que le J. W. Ruby Memorial Hospital, WVU Medicine Children's, et divers autres centres médicaux régionaux. WVU Medicine propose une vaste gamme de services de santé, incluant des traitements médicaux spécialisés et avancés comme la chirurgie cardiaque robotisée. Il est également impliqué dans l'éducation médicale, la recherche et les initiatives de santé communautaire, mettant l'accent sur une mission de fournir des soins de haute qualité aux communautés qu'il dessert.

Description

• Post insurance and patient payments to Epic and balance postings to bank deposits • Process electronic remittances and manually post payments from paper remittances • Research and resolve outstanding deposits and unidentified or missing payments • Process transactions and route incorrectly posted transactions to appropriate accounts • Identify and correctly route unidentified payment transactions • Balance postings to bank deposits using Epic and Microsoft Excel • Maintain timely and accurate posting and report to management • Document accounts accurately • Analyze and reconcile payment postings with patient accounting and accounting systems • Use online credit card systems, Epic, and One Content imaging system • Create, enter, and assign cash management batches • Open and distribute mail from post offices and financial institutions • Contact payors, business entities, and financial institutions regarding missing or unidentified payments • Complete and reconcile bank deposits daily • Resolve payment errors through remittance work queues • Review and reconcile postings monthly with the Departmental Coordinator • Resolve credit and undistributed self-pay balances through redistribution or refunds • Investigate insurance overpayments and process refund requests • Monitor special billing accounts and ensure timely pre-payment application • Maintain unclaimed property records and spreadsheets for state submission • Resolve cash drawer and missing receipt issues with registration, customer service, and cashier teams • Maintain knowledge of payor provisions and local, state, and federal collection laws • Determine eligibility, benefits, and payment information for refunds or payment distribution • Use payor portals for overpayment recoveries • Identify missing charges and coordinate coding-manager re-entry • Complete bulk-refund reports • Monitor inappropriate hospital payments posted to professional billing and coordinate corrections • Assist accounting with reconciliation of patient payments

🎯 Exigences

• High School Graduate or equivalent • One (1) year medical billing/medical office experience preferred • Bookkeeping and cash balancing experience • 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 • Excellent oral and written communication skills • Excellent customer service and telephone etiquette • Ability to use tact and diplomacy in dealing with others • Knowledge of patient accounting principles and procedures • Working knowledge of computers • Current knowledge of online banking systems • Ability to sit for extended periods • Reading and comprehension ability • Visual acuity within normal range • Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment

🏖️ Avantages

• Full-time schedule of 40 hours per week • Participation in educational programs for mandatory requirements, job growth, and personal growth

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