Payment Specialist II

Expanded knowledge of PLB processes by payer. Includes the aptitude to recognize when a PLB should be posted to a patient's account and verify with the billing department. Attention to detail when reviewing the EOB correspondence batches in the banking system with the ability to identify issues and present to management. Interpret and key RAC Audit correspondence into the Audit system. Understand payment posting and the relationship between co-pays, deductibles, co-insurance, allowances, and payments so that the account balance is accurate after payment is posted. Ability to navigate on various payer websites or call the payer directly when needed. Key payment data from lockbox work, capturing all relevant data, including payer remark codes that would assist the Billing Department in determining how to follow up on a denial. Verify that funds are in the bank prior to posting. Import and post files, and reconcile funds in the bank to payments posted. Print posted reports and manually po...Payment, Specialist, Healthcare, Billing, Management