Payment Specialist

3HC Home Health and Hospice
Location: Goldsboro Corporate Office
Full-time

Compassionate Care is our Calling

Why choose 3HC:

3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life's journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards.


Summary:

The Payment Specialist is responsible for accurate, timely application of payments and adjustments to patient accounts for all programs.

Education and Experience

• High school diploma or equivalent required; Associates degree preferred
• Experience in accounts receivable preferred.
• Experience working with medical insuranceand/or posting payments required.
• Experience using medical billing software and/or electronic medical records (EMR), and Microsoft Office applications required.
• Ability to maintain confidentiality.

Essential Functions

• Abides by and supports 3HC's Compliance Program and Code of Ethics. 3HC's Compliance motto is "Compliance for all and all for Compliance". It is the intent of 3HC to comply with all applicable laws and regulations and that spirit is embedded in all aspects of our services and business practices. Our success hinges on doing things ethically and legally, to which, each and every employee plays a critical role.
• Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.
• Responsible for the payment process: (a) review remittance files and explanation of benefits (EOBs), (b) verify automatic posting of payments in EMR, (c) record adjustments as needed, (d) post cash and other non-electronic remits per daily deposit log, (e) reconcile posted payments to bank totals monthly, (f) meet monthly deadline for closing all payment batches
• Notify supervisor when visit reason codes/reimbursement/contractual amounts need to be revised
• Responds appropriately to patient/family requests as well as other agency staff as related to patient's account
• Responsible for posting refunds as needed and documenting activity in EMR
• Completes adjustments, transfers, and refunds within three (3) business days and prior to month end.
• Assists supervisor with the training and assignments of tasks for payment/cash applications.
• Maintains deposit logs in shared folder.
• Demonstrates an interest in personal and professional growth for self and staff: (a) attends and participates in workshops, seminars, webcasts to keep abreast of current changes in rules, regulations, relating to job functions and department; (b) does individual reading and research; and (c) recommends educational opportunities for staff and encourages participation.
• Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.
• Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.

3HC is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex or sexual orientation, age, marital status, gender identity, national veteran or disability status.