Payment Solutions Specialist, Accuracy & Resolution

Job not on LinkedIn

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Village Medical

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Village Medical is revolutionizing primary healthcare by focusing on making care more accessible and personalized, especially for adults over 65. With services that include in-clinic, in-home, and virtual visits, Village Medical ensures comprehensive and coordinated care through a team approach. They prioritize wellness by offering personalized care plans and welcome most insurance, including Medicare Advantage plans. Their widespread presence in over 680 locations, many within Walgreens, enables them to be easily accessible to their patients. Village Medical's commitment to their patients is reinforced by the ability to manage appointments and prescriptions through their free app, enhancing convenience and connectivity in healthcare management.

📋 Description

• 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 for 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).

🎯 Requirements

• 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. • Physical ability to sit for prolonged periods, use a computer, keyboard frequently, perform repetitive tasks, and communicate effectively in a virtual environment.

🏖️ Benefits

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