What are the responsibilities and job description for the Payment Application Specialist position at Spring Health?
Experience
- 2 Years of Experience (Minimum)
- 5 Years of Experience (Preferred)
- Assisting with posting under Brightree system, so experience in BT is preferable or it may be any relatable Homecare payment posting experience, and mostly with Commercial payors.
Education
- Highschool diploma - must provide proof of copy on diploma and/or transcripts
Job Summary
- Payment Application Specialist
- The Payment Application Specialist researches, audits, reconciles and applies all cash receipts to
- AR accounts. Is skilled at researching, auditing, and reconciling payments for the respective
- departments. Is able to interpret explanations of benefits (EOBs) and reconcile and apply payments,
- recoupments, and provider level adjustments (PLBs). Identifies external payments and non-patient
- payments, and takes proper steps to transfer to the appropriate entity/general ledger account using
- designated adjustment codes. Processes payments and denials with the correct denial/remittance
- codes and applies denials/payments to the appropriate account/liability bucket. Handles processing
- of Non-Sufficient Funds (NSF) payments. Conducts in-depth research to resolve any balancing
- issues or to reconcile unidentified payments posted to clearing accounts. Identifies issues with
- ERAs/contractual calculations/payer compliance and escalates appropriately. Uses system
- generated reports, performs in-depth research and reconciliation of variances in the internal
- balancing tool. Recognizes and shares areas for process improvements. Is considered a subject
- matter expert (SME) in multiple areas of payment application and trains team members/documents
- processes/participates in workflow testing and other projects in order to improve the overall
- knowledge and function of their team. Performs other duties as assigned.
Job Type: Contract
Pay: From $27.00 per hour
Expected hours: 40 per week
Work Location: In person
Salary : $27