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Payment Specialist

Posted: December 13, 2023 Expired: February 28, 2024
Colorado
FULL TIME
Bachelor Degree 3 Year
Payment Specialist
Remote, Part time

EBNHC is seeking an experienced Payment Specialist for part-time, remote position! Under the direct supervision of the Manager of Revenue Integrity and Payer Contracting, the Payment Specialist is responsible for the accurate and timely processing and posting of all incoming payments and denials from insurance companies, patients, and third party payers to customer accounts. This position verifies bank deposits, reconciles to posted transactions, and researches discrepancies. The ideal candidate needs to have experience with MS Office, with an emphasis on Excel. The staff in this position works closely with other EBNHC Departments and financial institutions.

Epic PB Resolute and medical billing experience is required for this position. Strong verbal and written communication skills are needed to be successful in this role. This position is a 100% remote work opportunity. Proof of residency is required in one of the following States (Massachusetts, Maine, Tennessee, Wisconsin, Colorado, Georgia, Pennsylvania, Rhode Island, New Hampshire, Ohio, Michigan, or Florida).
Essential Duties and Responsibilities:
  • Communicate and coordinate resolution of identified issues with denials, payment variances and contract operations to leadership and other stakeholders.
  • Documents department workflow and assists periodic assessments to ensure efficient processes.
  • Tracks WQ performance to ensure timely processing of claims and proactive identification of billing issues.
  • Direct and participate in complex projects related to revenue cycle initiatives.
  • Intermediate analytical skills to evaluate information gathered from multiple sources and synthesize into actionable information
  • Leads reconciliation for a wide variety of projects. Playskey role in developing reconciliation policies.
  • Assists with charge master maintenance, including annual updates to ensure appropriate billings and maximization of revenue.
  • Performs random audits of standard reports and performance measures for all areas of responsibility.
  • Keeps self and staff abreast of any changes in state and federal government programs, as well as all other third party payers.
  • Provides feedback to assist EBNHC management in developing strategies to improve patient financial service operations.

Qualifications and Requirements:
  • Bachelor’s degree or equivalent experience required, Masters Preferred.
  • 3+ years of healthcare experience required, including full scope revenue cycle, charge master, performance benchmarking
  • 3+ years of Epic experience required (PB Resolute)
  • Knowledge of insurance reimbursement policies, payer contracting, operations and billing regulations
  • Experience working with Clinic and Physician leadership
  • Knowledge of health care industry trends
  • Knowledge of Revenue codes, CPT, and ICD-10 Coding

Benefits:
  • Medical, Dental, and Vision Coverage
  • Life and Disability Insurance
  • 401(K) Retirement Plan
  • Tuition Reimbursement
  • Flexible Spending and Transportation Accounts
  • Paid Holidays, Vacations, Sick, and Personal Time
  • Generous Staff Development Benefit
  • Excellent Malpractice Coverage
  • Pet Insurance
  • Free Parking and much more

EBNHC opens our doors to people from all demographics and cultures. Our workforce is as diverse as the city we call home — in gender, race, ethnicity, sexual orientation, disability, religion, and age, as well as in cultural backgrounds, life experiences, thoughts, and ideas.
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