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Payment Application Specialist

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WVU Medicine

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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.

đź“‹ Description

• Post insurance and patient payments to Epic and balance postings to bank deposits • Process electronic remittance files and manually post paper remittances • Research and resolve outstanding deposits, unidentified payments, missing payments, payment errors, and incorrect account routing • Reconcile patient payments and other payment sources with patient accounting and accounting systems • Create, enter, and assign cash management batches • Open and distribute mail from post offices and financial institutions • Contact payors, business entities, financial institutions, insurers, and employers to resolve payment issues and determine eligibility, benefits, and payment information • Complete and reconcile bank deposits daily and review postings monthly • Process refunds and overpayment recoveries for third-party payors and guarantors • Monitor special billing guidelines, unclaimed property, work queues, and inappropriate hospital payments • Maintain spreadsheets and reports for unclaimed property and bulk refunds • Support registration, customer service, cashier, coding, accounting, and Revenue Cycle teams • Maintain knowledge of payor provisions and local, state, and federal collection laws

🎯 Requirements

• High School Graduate or equivalent • One year of medical billing/medical office experience preferred • Bookkeeping and cash balancing experience • 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 • 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 • Excellent customer service and telephone etiquette • Ability to use tact and diplomacy • Knowledge of patient accounting principles and procedures • Working knowledge of computers • Current knowledge of online banking systems

🏖️ Benefits

• Full-time schedule with 40 scheduled weekly hours • Participation in educational programs to meet mandatory requirements and identified professional/personal growth needs • Reasonable accommodations for individuals with disabilities

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