Payment and A/R Specialist

Summary

The Payment and A/R Specialist is responsible for managing the end-to-end revenue cycle process for a Federally Qualified Health Center (FQHC), including posting payments accurately, reconciling accounts, and ensuring timely resolution of outstanding balances. This position involves a combination of transactional accuracy and proactive account management to optimize the financial performance of the organization.

Responsibilities

Payment Posting:

• Accurately post payments from patients, insurance companies, and other payers into the billing system.
• Reconcile daily deposits with posted payment batches and resolve discrepancies.
• Apply adjustments, contractual allowances, and denials as appropriate.
• Maintain documentation for all payment-related activities in compliance with organizational policies.

Accounts Receivable Management:

• Monitor accounts receivable aging reports and identify overdue accounts for follow-up.
• Contact insurance companies and patients to resolve outstanding balances or underpaid claims.
• Investigate and resolve payment discrepancies, including denials and partial payments.
• Submit appeals for denied claims and track their progress.
• Set up payment plans with patients when needed and ensure compliance with agreements.

Reporting and Analysis:

• Generate and analyze reports related to payment posting, accounts receivable, and denial trends.
• Provide insights to improve revenue cycle efficiency and reduce delays in payments.
• Communicate findings and recommendations to the billing team or management.

Compliance and Communication:

• Ensure compliance with all applicable healthcare billing regulations.
• Collaborate with other departments to resolve issues affecting payment or claims processing.
• Provide excellent customer service to patients and payers regarding billing and payment inquiries.
• Adhere to HIPAA and PHI guidelines at all times, ensuring patient confidentiality.

Qualifications

• Strong knowledge of revenue cycle processes, including payment posting, insurance claims, and accounts receivable.
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Excellent attention to detail and organizational skills.
• Strong problem-solving and communication abilities.
• Proficient in Microsoft Excel and the Office Suite.
• Excellent interpersonal and customer service skills.

If you are passionate about supporting healthcare through effective financial management, we invite you to apply today and become a vital part of our team at East Hill Medical Center!

Job Type: Full-time

Pay: $23.00 - $27.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends

Education:

• High school or equivalent (Required)

Experience:

• Medical billing: 3 years (Preferred)
• Revenue cycle management: 1 year (Preferred)
• Clerical: 1 year (Preferred)

Ability to Commute:

• Auburn, NY 13021 (Required)

Ability to Relocate:

• Auburn, NY 13021: Relocate before starting work (Required)

Work Location: In person

Salary : $23 - $27