Payment Application Specialist

The Payment Application Specialist accurately processes payments and maintains reconciliation processes in the CBO. In this role, you will manually and electronically post a high volume of patient and insurance payments and adjustments. The Payment Application Specialist is responsible for ensuring all payments received are posted for month end processes.

PRIMARY RESPONSIBILITIES INCLUDE BUT NOT LIMITED TO:
• Follows organization policies and procedures
• Provides superior customer support to our clients and their customers by responding to questions and requests; effectively escalates issues as required
• Cross trained to provide department coverage
• Effectively trains team members
• Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s)
• Produces and maintains department policies, procedures, documentation, and training materials for role specific activities
• Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team
• Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner
• Routinely collaborate with department managers to correct problems and improve services
• Informs manager of identified issues or trends
• Provides administrative support to business operations by performing processing tasks such as data entry, scanning, mail sorting, or similar activities
• Performs timely and accurate importing, applying, processing, and posting ERAs and manual payment posting to practice management system to meet team goals and objectives
• Posts live checks, online credit card payments, and EFT deposits
• Records batch total with date and initials on payment receipt spreadsheet
• Balances batches and runs transaction reports
• Verifies all EFT deposits, scanned checks, and zero payments have been posted by month end
• Assists with EFT/ERA enrollment for payers
• Reconciles all payments received daily, weekly, and monthly
• Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients
• Meets specified department performance requirements
• Resolves support tickets submitted by clients and assigned to department according to metrics assigned
• Manages time and multi-tasks appropriately to meet expectations of management and peers
• Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner
• Remote employee is responsible to keep work area quiet and organized during scheduled working hours

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:


Required Skills & Experience

MINIMUM QUALIFICATIONS, SKILLS, AND ABILITIES:
• High School Diploma or equivalency required
• Prior NextGen and/or Epic experience preferred
• Ability to work flexible hours to meet client(s) month end and fiscal year end
• 1+ years' experience in healthcare (professional) billing, health insurance or equivalent operations work environment
• Previous medical insurance payment posting experience required
• General accounting skills a plus
• Adhere to all HIPAA guidelines
• Excellent communication skills and problem-solving skills
• Ability to read and understand an EOB
• Ability to manage multiple tasks/projects simultaneously and adapt to frequent priority changes
• Ability to work both collaboratively and independently
• Capacity to identify and implement improvement opportunities where enhanced processes, technology, or efficiencies can be applied
• Proficient technical skills and customer satisfaction skills, including ability to troubleshoot products, use MS Office applications and webinar software


Nice to Have Skills & Experience

MediCal experience


Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.