Payment Application Specialist

Job Description

REQUIREMENTS

• High School Diploma or equivalent work-related history.
• College education or trade school preferred.
• Previous experience with payment posting in a physician group or healthcare setting preferred.
• Familiarity with healthcare payment posting processes and terminology.
• Basic knowledge of CPT, ICD-10, and HCPCS is a plus.
• Understanding of third-party payer payment and remittance structures.
• Strong organizational and time management skills.
• High attention to detail and accuracy.
• Proficient computer and data entry skills.

• Ability to maintain confidentiality and handle sensitive information according to HIPAA regulations.
• Effective communication and teamwork skills.

RESPONSIBILITIES

• Accurately post all patient and insurance payments to the correct accounts.
• Balance and reconcile daily deposits and batches.
• Research and resolve unapplied or misapplied payments in a timely manner.
• Request missing remittance advice from insurance payers and download ERAs.
• Coordinate receipt and processing of correspondence related to payment posting.
• Monitor and manage unapplied balances, escalating issues when necessary.
• Support teammates and assist with training as needed.
• Promote and adhere to OrthoLoneStar’s mission, core values, and vision.
• Maintain satisfactory attendance in accordance with policy.
• Other duties as assigned.

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