Payment Specialist

verview

This role plays a key part in the financial workflow of the organization by accurately applying incoming payments to patient accounts. The individual in this position will also monitor payer activity, spotting irregularities or trends in reimbursement and working directly with insurers to resolve discrepancies.

Key Duties & Contributions

• Apply both electronic and paper-based payments to the correct patient accounts in a timely and precise manner.
• Participate in daily, weekly, and monthly balancing of posted funds, including reconciliation activities with internal accounting records.
• Watch for overpayments or unusual payer behavior and escalate when needed.
• Validate insurance remittance details before posting and ensure any errors are corrected.
• Maintain deadlines for cash posting activities to support accurate revenue reporting.
• Investigate unallocated or unclear payments and take necessary action to reconcile them.
• Track recurring payer issues and share findings with the revenue cycle team.
• Team up with A/R colleagues to address missing information or inconsistencies in remittance advice.
• Keep supervisors informed of problematic payment trends or delays from specific insurers.

Qualifications

• High School diploma required.
• At least 1 year of revenue cycle or dental billing office experience required.
• Prefer 2 years in payment posting and/or accounts receivable within healthcare settings such as dental or oral surgery.
• Excellent communication and customer interaction skills.
• Reliable organization skills with strong attention to detail.
• Ability to handle multiple priorities and meet strict timelines.
• Proficiency with computers and billing software.
• Confident and professional phone etiquette.
• Flexibility to work additional hours if business demands require it.

Work Environment & Physical Needs

• On-site presence is necessary due to the nature of the work.
• Role involves sitting for most of the workday, along with periodic standing and light movement.
• Must be able to handle job-related tasks that may vary outside of those listed as needs arise.

Schedule & Employee Benefits

• Full-time, Monday through Friday, 8-hour workdays.
• Competitive benefit offerings may include:
• Employer retirement plan contributions
• Health, dental, and vision coverage
• Life insurance
• Employee referral incentives