Division/Department – MSO
Reports to – Revenue Cycle Manager-Quality Assurance & Payment Integrity
GENERAL JOB DESCRIPTION
Reports directly to the Revenue Cycle Manager and is responsible for accurately posting patient and insurance payments into the Practice Management System. The Payment Application Specialist ensures timely and correct allocation of payments, helps resolve unapplied or misposted transactions, and works closely with both internal teams and external contacts such as insurance companies. Additional responsibilities are outlined below.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
• Accurately post all patient and insurance payments to the correct accounts.
• Balance and reconcile daily deposits and batches.
• Research and resolve unapplied or misapplied payments in a timely manner.
• Request missing remittance advice from insurance payers and download ERAs.
• Coordinate receipt and processing of correspondence related to payment posting.
• Monitor and manage unapplied balances, escalating issues when necessary.
• Support teammates and assist with training as needed.
• Promote and adhere to OrthoLoneStar’s mission, core values, and vision.
• Maintain satisfactory attendance in accordance with policy.
• Other duties as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES
Education –
• High School Diploma or equivalent work-related history.
• College education or trade school preferred.
Experience -
• Previous experience with payment posting in a physician group or healthcare setting preferred.
Licensure - None Required
Special Skills
• Familiarity with healthcare payment posting processes and terminology.
• Basic knowledge of CPT, ICD-10, and HCPCS is a plus.
• Understanding of third-party payer payment and remittance structures.
• Strong organizational and time management skills.
• High attention to detail and accuracy.
• Proficient computer and data entry skills.
• Ability to maintain confidentiality and handle sensitive information according to HIPAA regulations.
• Effective communication and teamwork skills.
Working Conditions and Requirements
• High quality and reliable internet to perform remote duties efficiently.
• Remote, work-from-home setting with a 40-hour work week, Monday through Friday. Overtime is available, if necessary.
• Equipment is provided but must be placed in a secluded environment.
• Adequate childcare during work hours.
Physical Demands
• Requires manual dexterity to operate a keyboard, calculator, and other office equipment.
• Near-visual acuity with color perception in order to view computer screens and decipher fine print.
• Auditory acuity for hearing telephone conversations or team meetings.
• Frequent sitting and use of standard office equipment.
• Ability to lift 15 pounds of office supplies or equipment, if necessary.