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Payment Application Specialist

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Logo of WVU Medicine

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.

📋 Description

• Post insurance and patient payments to Epic and balance postings to bank deposits • Process electronic remittance files and manually post payments from paper remittances • Research and resolve outstanding deposits and unidentified or missing payments • Process electronic remittances and correct transactions that do not post properly • Route unidentified payments and non-patient money to the correct general ledger accounts • Balance postings to bank deposits using Epic and Microsoft Excel • Maintain timely and accurate payment posting and report to management • Document accounts accurately • Analyze and reconcile patient and non-accounts-receivable payments with patient accounting and accounting departments • Create, enter, and assign cash management batches • Open and distribute mail from post offices and financial institutions • Contact payors, business entities, and financial institutions to resolve payment issues • Access scanned information through the One Content imaging system • Complete and reconcile bank deposits daily • Use remittance work queues to resolve payment errors • Review and reconcile postings monthly with the Departmental Coordinator • Research and resolve credit or undistributed self-pay balances • Investigate insurance overpayments and process refund requests • Monitor special billing accounts to ensure timely pre-payment application • Maintain unclaimed-property records and submission spreadsheets • Resolve cash-drawer and missing-receipt issues with registration, customer service, and cashier teams • Maintain knowledge of payor payment provisions and applicable collection laws • Determine eligibility, benefits, and payment information for refunds or payment distribution • Use payor portals to initiate overpayment recoveries • Identify missing charges and communicate with coding management • Complete bulk-refund reports assigned by Revenue Cycle leadership • Monitor inappropriate hospital payments posted to professional billing and coordinate corrections • Assist accounting with reconciliation of patient payments

🎯 Requirements

• High School Graduate or equivalent • One (1) year medical billing/medical office experience preferred • Bookkeeping and cash balancing experience • Ability to sit for extended periods of time • 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 in dealing with others • Knowledge of patient accounting principles and procedures • Working knowledge of computers • Current knowledge of online banking systems

🏖️ Benefits

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

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