Payment Application Specialist
Location
Virginia + 1 moreAll locations: Virginia | West Virginia
Posted
2 days ago
Salary
0
Seniority
Junior
Job Description
Payment Application Specialist
WVU Medicine
• Responsible for posting insurance and/or patient payments to Epic and balancing those postings to the bank deposits in a timely and accurate manner • Assists Departmental Coordinator in researching and resolving outstanding deposits and unidentified or missing payments • Processes electronic remittances initiating transaction posting in Epic • Works transactions that do not post correctly to ensure that transactions route to the appropriate accounts • Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account • Balances postings to bank deposits utilizing provided technical tools in Epic and via Microsoft Excel • Maintains timely and accurate posting according to departmental goals and report to management • Documents accounts clearly and accurately • Analyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department • Uses system software, including online credit card systems and the Epic system • Creates, enters, and assigns cash management batches • Opens and distributes mail received from the post office and financial institutions for the various entities services are billed for • Contacts the appropriate third party payors, business entities, or financial institutions to resolve unidentified or missing payments • Accesses any scanned information via One Content imaging system • Completes and reconciles bank deposits daily • Utilizes remittance work queues to resolve payment errors • Reviews and reconciles all postings monthly with the Departmental Coordinator as needed • Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth • Researches accounts in work queues with credit or undistributed self-pay balances, and works to resolve these balances by distributing to other outstanding account, refunding another approved facility, or refunding the guarantor • Investigates insurance overpayments and takes appropriate action from within the work queue to resolve the variance • Processes refund requests received from third party payors, clinical departments, other areas of Revenue Cycle, and leadership • Monitors accounts that fall within out special billing guidelines (i.e. cosmetic, bariatric, IVF, plastics, etc.) to insure pre-payment application is done within a timely manner • Works with the appropriate accountants to maintain a list of all unclaimed property, and maintain a spreadsheet for submission to the state • Takes calls from registration and customer service staff experiencing issues with cash drawers, and works to resolve the issues • Insures all refund requests are received from accounts payable, and processes the checks for submission to third party or guarantor • Maintains current knowledge of payor payment provisions and all local, state, and federal collection laws • Contacts insurance company or employer to determine eligibility, benefits, and payment information necessary to refund or distribute payments • Ability to accurately utilize payor portals to initiate overpayment recoveries • Identifies missing charges and communicates with appropriate coding manager for re-entry • Completes reports assigned by Revenue Cycle leadership for bulk refunds to third party payors • Monitors work queue for inappropriate hospital payments posted to professional billing, and works with appropriate entity for posting • Assists hospital cashier’s office in locating and resolving missing receipts • Aids accounting department in reconciling patient payments for the entity in which the receipt was deposited
Job Requirements
- High School Graduate or equivalent
- One (1) year medical billing/medical office experience preferred
- Bookkeeping and cash balancing experience
- Excellent oral and written communication skills
- Knowledge of medical terminology preferred
- Knowledge of third party payers preferred
- Knowledge of business math preferred
- Knowledge of ICD-10 and CPT coding processes preferred
- Working knowledge of computers
Benefits
- Health insurance
- Paid time off
- Professional development opportunities
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