Payment Specialist

• Accurately and timely applies all payments and contractual adjustments according to departmental procedures.

• Process refunds for patient overpayments monthly. 

• Responsible for identifying payer trends & reporting to the management team.

• Analyzing contracts, understanding per-diem rates Vs. drug rates. 

• Responsible for making the appropriate adjustments to claims. 

• Forward paper denials included on payment advice & remittance to A/R coordinator for daily follow-up. 

• Perform other duties as assigned by the supervisor. 

Qualifications

• Good computer & communication skills. 

• Knowledge of medical terminology. 

• One-year experience in billing, cash posting, and collection procedures, preferably in healthcare.

• Able to handle multiple tasks in a stressful environment.   

• CPR+ and or Caretend experience