Payment Application Specialist
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Job Posting Closing Date: Open until Filled
Where do you belong?Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.
USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.
Job DescriptionThe Payment Application Specialist ensures accurate and timely payment posting by thoroughly researching and resolving discrepancies between Athena and USACS systems. They process the application of unpostable and correspondence records to the appropriate patient accounts through detailed review of supporting documentation. Additionally, they collaborate closely with internal teams and external payers to maintain data integrity, optimize revenue cycle processes, and support overall financial accuracy. Location: Remote ESSENTIAL JOB FUNCTIONS:
- Proactively collaborate with the Athena team to identify, investigate, and resolve duplicate or misrouted payment items via CRM, ensuring accurate and efficient payment processing.
- Assist in balancing and reviewing third-party collection vendor accounts to support financial reconciliation and reporting accuracy.
- Communicate effectively with payers through phone and other channels to research and obtain missing or omitted information required for payment posting.
- Identify and facilitate opportunities to transition One Time Use credit card payers to more secure and efficient EFT/ACH payment methods using the BSG ticket process, improving payment speed and security.
- Review, upload, and accurately post paper remittances and Electronic Remittance Advice (ERA) files from Payor Web Portals into Athena, ensuring timely and accurate account updates.
- Monitor, document, and escalate emerging trends, recurring issues, or unusual payment posting challenges to support continuous process improvement.
- Accurately apply incoming unpostable and correspondence records to the correct patient accounts and claims, minimizing errors and delays in revenue recognition.
- Perform additional departmental duties as assigned, demonstrating flexibility and strong commitment to team objectives.
- Consistently meet or exceed production and quality targets set by management, contributing to overall departmental performance and success.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Proficiency with Windows-based PC hardware and software, especially spreadsheet applications for data analysis and reporting.
- Strong problem-solving skills to independently identify, research, and resolve complex discrepancies, communicating results clearly to management.
- Excellent interpersonal and communication abilities for professional interaction with employees, management, and external stakeholders.
- Strict commitment to maintaining confidentiality of sensitive patient and financial information.
- Highly organized with the ability to prioritize and manage multiple tasks effectively in a fast-paced environment.
- Willingness to work overtime and contribute extra effort during peak periods or special projects.
- Exceptional attention to detail to ensure accuracy in all tasks.
EDUCATION AND EXPERIENCE:
- High School Diploma or equivalent required; additional education or certifications in finance, accounting, or healthcare administration preferred.
- Experience with Health Insurance Websites/Portals required.
- Experience with Financial Records to resolve missing payments required.
- Proficient in review of Explanation of Benefits and Posting required.
- Prior experience...
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