Terros Health

  • Payment Application Specialist

    Job Locations US-AZ-Phoenix
    Job ID
    2018-2753
    # of Openings
    1
    Category
    Billing & Reimbursements
    Program
    Billing & Collections
    Weekly Hours
    40
  • Overview

    Terros Health, Inc. is a four decade old, fully integrated community healthcare provider: With over 30 clinics throughout the Phoenix metro area, including Tucson, Flagstaff and Prescott Arizona. We have an exciting and immediate need for an experienced A Applicant Specialist. As one of the state’s leading, healthcare providers: Terros Health offers great work-life-balance, and continued career progression. Each new hire is eligible to participate in our best-in-class employee benefit plan the 1st of the month following their date of hire.

    Benefits include:

    • Medical insurance: PPO Health Reimbursement, HDHP Health Savings Account, and a traditional PPO
    • Vision insurance
    • Dental and Orthodontics insurance
    • Flexible Spending Accounts
    • Accidental Death & Dismemberment insurance
    • Disability insurance
    • Paid Life insurance
    • 401K with company matching (Company matching after 6 months of employment)
    • Employee Assistance Program
    • Financial Consultation and Referrals
    • Family & Caregiving Resources and Referrals
    • Legal Consultations
    • Paid Holidays
    • Generous paid time off/Vacation time
    • Paid sick time
    • Tuition discounts through our strategic partnership
    • Employee discounts on car rental through Enterprise Rental Car

    If you've been in search of a growing organization with a forward thinking, and caring culture: Terros Health may be the company you’ve been looking for.

    Responsibilities

    A Payment Application Specialist is responsible for the expedient and accurate posting of payments/denials/pended claims in both electronic and paper formats in the Enterprise Practice Management System (EPM)

    • Proper processing of electronic and manual payor EOBs, including the posting of patient portions, denials, adjustments, contractual allowance and recoupments.
    • Resolves any unposted line items from electronic EOBs which have been “kicked-out” of the posting batch.
    • Responsible for the electronic payment process, ensures accurate interfacing, reconciliation, and posting of payments. Researches missing amounts and makes corrections as needed.
    • Reconciles daily reporting from multiple bank accounts to receivable accounts
    • Reconciles daily cash received at sites to cash posted by Front Office in EPM
    • Accurately posts patient and carrier payments to patient accounts, calculates and enters contractual adjustments, and patient discounts.
    • Responsible for initiating processes for accurate and timely payment posting, accurate and timely reconciliations of payment postings, and associated adjustments.
    • Reviews and improves, where necessary, processes for payment posting and reconciliation with improved accuracy and timeliness in mind.
    • Reports to management any payer configuration changes.
    • Works with Revenue Cycle Supervisor to move manual EOBs/payments to electronic EOBs/payments.
    • Proactively engaged in process improvement on a continuous basis.
    • Researches all unknown payments that are received, request refunds or applies payment to the correct account timely.

    Qualifications

    • High School Diploma required, prefer an Associate degree in administration or equivalent experience in billing, finance or business administration and at least 2yrs experience.
    • Experience in specific area of work applied for such as healthcare services, customer service and medical records.
    • Worked in a production-based environment before and is a custom to being held to a high standard of productivity
    • Above average skills in Excel and Word. Ability to creates and use Pivot Tables and V-Lookup Functions.
    • Functional knowledge of CMS/HRSA/AHCCCS guidelines
    • Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed