Payment Specialist

verview

This role plays a key part in the financial workflow of the organization by accurately applying incoming payments to patient accounts. The individual in this position will also monitor payer activity, spotting irregularities or trends in reimbursement and working directly with insurers to resolve discrepancies.

Key Duties & Contributions

• Apply both electronic and paper-based payments to the correct patient accounts in a timely and precise manner.
• Participate in daily, weekly, and monthly balancing of posted funds, including reconciliation activities with internal accounting records.
• Watch for overpayments or unusual payer behavior and escalate when needed.
• Validate insurance remittance details before posting and ensure any errors are corrected.
• Maintain deadlines for cash posting activities to support accurate revenue reporting.
• Investigate unallocated or unclear payments and take necessary action to reconcile them.
• Track recurring payer issues and share findings with the revenue cycle team.
• Team up with A / R colleagues to address missing information or inconsistencies in remittance advice.
• Keep supervisors informed of problematic payment trends or delays from specific insurers.

Qualifications

Work Environment & Physical Needs

Schedule & Employee Benefits