What are the responsibilities and job description for the Accounts Receivable Specialist position at Phaxis?
Day-to-Day Responsibilities
- Handle healthcare payment posting, including both manual and electronic transactions.
- Interpret EOBs, EFTs, ERAs, COB, and 835 files accurately.
- Navigate payer guidelines for Medicare, Medicaid, Commercial plans, and Workers' Compensation.
- Manage contractual adjustments, proration methodologies, and secondary/tertiary payer rules.
- Resolve complex denials and reconcile unapplied or misapplied payments.
- Apply revenue cycle accounting principles for payment posting and reconciliation.
- Work with systems like Interactant (HCS), WellSky, or comparable EMR/payment posting systems.
- Post payments with exceptional attention to detail across multiple dates of service, payers, and accounts.
- Analyze and allocate lump-sum payments across patient accounts.
- Research payment variances and independently resolve discrepancies.
- Communicate effectively with billers, collectors, and payer representatives.
- Contribute to workflow and process improvement initiatives.
- 3-5 years of experience in healthcare payment posting.
- Strong mathematical and analytical skills for interpreting remittance advice.
- Proficiency in Excel and other data reconciliation tools.
- Experience with clearinghouses, payer portals, lockbox files, and remittance systems.
- Familiarity with batch posting, remittance matching, and custom posting rules.
- Understanding of automated and manual posting environments.
- Self-motivated with strong problem-solving and critical-thinking skills.
- Ability to perform under pressure and meet tight deadlines.
- High level of ownership, accountability, and follow-through.
- Experience in rehabilitation, home health, or residential healthcare settings is preferred.
- Exposure to payer audits, recoupments, and post-payment reviews is beneficial.
- Basic understanding of contract modeling or reimbursement analytics is advantageous.
Salary : $25 - $27
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