Payment Specialist, Full Time
Company: UHS of Delaware, Inc.
Location: Sparks
Posted on: January 8, 2022
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Job Description:
Responsibilities: The Payment Specialist is responsible for the
accurate and timely import and processing of Electronic Remittance
Advices (ERAs) and manual payment posting to PMS to meet team goals
and objectives. Confirms Electronic Funds Transfer (EFT) and
deposits (including lockbox) and processes payments following IPM
CBO guidelines. Performs timely and accurate ERA reconciliation to
include ERA processing, Process Level Adjustments (PLB) and credits
applied to the PMS following the processing of an ERA file to
minimize lag days. Meets or exceeds established performance targets
(productivity and quality) established by the Payments Supervisor.
Overlapping duties of posting, depositing and reconciliation of
remits is strictly prohibited. Exercises good judgement in
escalating identified payer specific ERAs that are not posting 100%
to the Practice Management System (PMS) to maximize automated
processing opportunities. Escalates payer EFT/deposits that are
received without corresponding Explanation of Benefits (EOBs) or
ERA file to maximize payer ERA enrollment. Demonstrates the ability
to be an effective team player. Upholds best practices in day to
day processes and work flow standardization to drive maximum
efficiencies across the team. Qualifications: Education: High
School Graduate/GED required. Technical School/2 Years
College/Associates Degree preferred.Work experience: Experience 1-3
years minimum) working in a healthcare (professional) billing,
health insurance or equivalent operations work environment.
Knowledge: Healthcare (professional) billing, knowledge of
CPT/ICD-10 coding, claim submission requirements and remittance
processing. Understanding of the revenue cycle and how the various
components work together preferred.Skills: Excellent organization
skills, attention to detail, research and problem solving ability.
Results oriented with a proven track record of accomplishing tasks
within a high-performing team environment.
Service-oriented/customer-centric. Strong computer literacy skills
including proficiency in Microsoft Office.Abilities:Equipment
Operated: Mainframe billing software (e.g., Cerner, Epic, IDX)
experience highly desirable.
Keywords: UHS of Delaware, Inc., Sparks , Payment Specialist, Full Time, Other , Sparks, Nevada
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