PAYMENT SPECIALIST

Responsibilities

About Texoma Care

Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient focused care to the Texoma region for over 50 years.

The Payment Specialist is responsible for the accurate and timely import and processing of Electronic Remittance Advices (ERAs) and manual payment posting to PMS to meet team goals and objectives.  Confirms Electronic Funds Transfer (EFT) and deposits (including lockbox) and processes payments following IPM CBO guidelines.  Performs timely and accurate ERA reconciliation to include ERA processing, Process Level Adjustments (PLB) and credits applied to the PMS following the processing of an ERA file to minimize lag days.  Meets or exceeds established performance targets (productivity and quality) established by the Payments Supervisor. Overlapping duties of posting, depositing and reconciliation of remits is strictly prohibited.  Exercises good judgement in escalating identified payer specific ERAs that are not posting 100% to the Practice Management System (PMS) to maximize automated processing opportunities.  Escalates payer EFT/deposits that are received without corresponding Explanation of Benefits (EOBs) or ERA file to maximize payer ERA enrollment.   Demonstrates the ability to be an effective team player. Upholds “best practices” in day-to-day processes and workflow standardization to drive maximum efficiencies across the team

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

As a TexomaCare employee you will be part of a first class organization offering: 

Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300 Subsidiaries!
 
About Universal Health Services (UHS), Inc.

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

Education: 

• High School Graduate/GED required.
• Technical School/2 Years College/Associates Degree preferred.

Work experience:

• Healthcare experience preferred, but not required.
• 1-3 years working in a healthcare (professional) billing, health insurance or equivalent operations work environment, preferred. 

Knowledge: 

• Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements and remittance processing, preferred.
• Understanding of the revenue cycle and how the various components work together, preferred. 

Skills:

• Excellent organization skills and attention to detail,
• Service-oriented/customer-centric.
• Strong computer literacy skills including proficiency in Microsoft Office.

Abilities:

• Ability to handle data entry accurately in a high-paced environment.
• Ability to reconcile data and identify discrepancies.
• Research, and problem-solving ability.
• Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. 

Equipment Operated:

• Mainframe billing software (e.g., Cerner, Epic, IDX).
• Computer, scanner, printer, phone, physical files.

Work environment:

Office setting

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. 

If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Salary : $13