What are the responsibilities and job description for the Payment Integrity Specialist position at Tampa Family Health Centers?
Job Description
Job Description
Position Summary
The Payment Integrity / Payment Poster is responsible for accurately posting and reconciling payments, managing credit balances, and handling over / underpayment workqueues within the EPIC system. This role ensures the integrity of payment processes and supports the financial operations of the healthcare organization.
Essential Duties & Functions
- Payment Posting : Accurately post all incoming payments (insurance and patient) and adjustments daily.
o Reconcile payment batches and ensure all transactions are balanced.
o Process electronic remittance advice (ERA) and manual payments.
o Identify and resolve credit balances on patient accounts.
o Process refunds for overpayments and ensure timely resolution.
o Maintain accurate records of all credit balance activities.
o Monitor and manage over / underpayment workqueues.
o Investigate and resolve discrepancies in payments.
o Collaborate with payers and internal departments to correct payment errors.
o Ensure accurate posting of payments that result in a remaining balance.
o Communicate with patients and payers to resolve outstanding balances.
o Update patient accounts to reflect accurate payment status.
Communicate with Revenue Cycle Management (RCM) Leadership to report trends, issues, and system optimization opportunities.
Adhere to all regulatory and compliance guidelines.
Prepare and submit reports on payment activities and discrepancies.
Maintain confidentiality and security of patient financial information.
