Terros Health

  • Payment Application Specialist

    Job Locations US-AZ-Phoenix
    Job ID
    2018-2949
    # of Openings
    1
    Category
    Billing & Reimbursements
    Program
    Billing & Collections
    Weekly Hours
    40
  • Overview

    Terros Health is pleased to share an exciting and challenging opportunity for a Payment Application Specialist.  Reporting to the Revenue Cycle Supervisor, the successful candidate will be responsible for performing a variety of duties relative to the revenue cycle process. 

     

    The role is a key member of the revenue cycle management team. If you’re a proven performer, with a high level of integrity this may be just the opportunity you’ve been seeking.

     

    Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. For more than four decades, the heart of everything we do is inspiring change for life. We help people manage addiction and mental illness, provide primary medical care, restore families, support our veterans, and connect individuals to the care they need.

     

    If you are interested in working for one of the State's Leading Healthcare Organizations that promotes IntegrityCompassion, and Empowerment, we encourage you to apply!  

    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.

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