What are the responsibilities and job description for the Payment Applications Specialist position at NueHealth?
This position will provide timely and accurate posting of monies to patients’ accounts, thereby enhancing their customer experience. The Payment Applications Specialist will demonstrate the ability to research, investigate and properly allocate monies to reflect on the patient’s account.
Minimum Qualifications
- High School graduate or equivalent
- Three years previous experience in a medical facility or medical business office
- Basic Knowledge of Bookkeeping functions
- Working knowledge of Excel
- Ability to read and interpret documents such as an Explanation of Benefit and 835 Remittance Advice
- The ability to prioritize tasks and work under stressful situations
- Ability to identify exceptions/breaks in patterns
- Requires visual and auditory acuity adequate for frequent use of computers and other business office equipment
Preferred Qualifications
- Experience in accounts payable, accounts receivable, general ledger and month end closing preferred
Essential Functions
- Posts payments received from insurance companies, Medicare, Medicaid, direct patient payments, etc. to invoices which may involve contacting insurance companies, patients and/or other insurance carriers to resolve questions to which invoice payments should be posted
- Updates Financial Status Classification (FSC) of each patient on remit posted
- Analyzes automatic processes for correctness and posts all edits and rejects as required
- Posts rejected and pre-post edits manually for payments received electronically with knowledge of electronic posting and reconciliation process
- Research problem accounts to properly post payments. Elevates appropriate posting issues to management
- Balances all batches and resolves discrepancies
- Investigates and resolves unidentified transactions no later than the fifth day of the following month in which they are received, according to departmental procedures
- Assists ValueHealth Management with Month End Bank Reconciliation
- Post refunds to accounts after approval and batches together for in house accounting to issue checks
- Prepare bank deposits and assigns NON AR GL codes for each NON AR deposit
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms. The employee is occasionally required to walk. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must occasionally lift and/or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is typical of an office environment and, as such, is considered moderate.
