Payment Application Specialist

Company Overview

Headquartered in Atlanta, GA, EyeSouth Partners is an eye care physician services organization committed to partnering with leading physicians to build a premier network of eye care services in throughout the Southeast. EyeSouth’s partner practices’ clinical mission is to provide high quality medical and surgical specialty eye care. EyeSouth supports its affiliated practices and physician partners with capital, administrative resources, operating expertise, and strategic guidance with an absolute focus on clinical quality and a patient-first culture.

EyeSouth’s affiliate network consists of over 40 practices with 300 doctors providing medical and surgical eye care services at over 175 clinic locations and 20 ambulatory surgery centers throughout Georgia, Texas, Louisiana, Florida, Tennessee, Ohio, Kentucky, Alabama, Illinois, Pennsylvania, New York, North Carolina, and South Carolina. 

Position Summary

Responsible for daily payment, posting and reconciliation to ensure accurate accounts receivable reporting.

**Applicants who live and plan to work from the following states will not be considered at this time: Alaska, Arizona, California, Colorado, Delaware, Hawaii, Idaho, Montana, Maryland, Massachusetts, Michigan, Nevada, New Mexico, Oregon, New Hampshire, New Jersey, Utah, New York, Rhode Island, Washington, and Wyoming. Thank you for your interest.

Responsibilities

• Posts EOB/ERA, check, credit card and lockbox payments electronically or manually using Practice Management System (PMS).
• Balances payment batches against daily deposits.
• Independently evaluates EOB's from third party payers and communicates effectively and timely to the collections team and management when a contractual error is noted.
• Determines denial codes used for each transaction that will determine a patient's balance and/or possible patient balance due statement to be processed.
• Researches unidentified payments and/or recoupments to determine correct transaction.
• Maintains high level of productivity through speed and accuracy.
• Contributes to the team effort by completing various tasks/projects as needed.

Qualifications

• Minimum of one (1) year Payment Posting experience in a multi-location medical practice or health system.
• Knowledge of insurance payers and cash posting guidelines.
• Strong knowledge in analyzing explanation of benefits (EOB's).
• Prior experience with an electronic medical record system required (EHR/EMR)
• Working knowledge of CPT and ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
• Intermediate mathematical skills.
• Ability to handle sensitive and confidential information in a professional manner.
• Maintains knowledge of coordination of benefits requirements and processes.
• Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
• Self-motivated with strong organizational skills and superior attention to detail.
• Ability to review documents for accuracy and reasonability.
• Ability to work well under pressure.
• Ability to multi-task, set priorities and follow through without direct supervision.
• Effectively communicate with physicians, patients, insurers, colleagues, and staff.
• Intermediate computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
• Knowledge of policies and procedures to accurately answer questions from internal and external customers.
• Detail oriented and tolerant of frequent interruptions and distractions from patients and staff.
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
• Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams.

Company Benefits

We offer a competitive benefits package to our employees:

• Medical
• Dental
• Vision
• 401k w/ Match
• HSA/FSA
• Telemedicine
• Generous PTO Package

We also offer the following benefits for FREE:

• Employee Discounts and Perks
• Employee Assistance Program
• Group Life/AD&D
• Short Term Disability Insurance
• Long Term Disability Insurance

EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.