Payment Application Specialist

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Work collaboratively with the Athena team to pinpoint, investigate, and rectify duplicate or misrouted payment items through CRM.

• Aid in the balancing and assessment of third-party collection vendor accounts.

• Engage with payers to research and acquire any missing or overlooked payment details.

• Facilitate the transition of One Time Use credit card payers to EFT/ACH payment methods utilizing the BSG ticket process.

• Review, upload, and post paper remittances and Electronic Remittance Advice (ERA) files from payer web portals into Athena.

• Observe, document, and escalate recurring issues and unusual challenges in payment posting.

• Allocate unpostable and correspondence records to the appropriate patient accounts and claims.

• Execute additional departmental responsibilities as assigned.

• Achieve or surpass production and quality objectives.

⛳️ Requirements

• A High School Diploma or equivalent is required.

• Experience with Health Insurance Websites/Portals is essential.

• Proficiency in Financial Records to resolve missing payments is mandatory.

• Skilled in reviewing Explanation of Benefits and Posting is required.

• Experience in communicating with Payers to investigate and secure missing or omitted information is crucial.

• Competence with Windows-based PC hardware and software, particularly spreadsheet applications for data analysis and reporting.

• Strong problem-solving skills to independently identify, investigate, and rectify complex discrepancies.

• Excellent interpersonal and communication skills.

• A commitment to maintaining the confidentiality of sensitive patient and financial information.

• Ability to prioritize and manage multiple tasks in a fast-paced setting.

• Willingness to work overtime during peak periods or on special projects.

• Exceptional attention to detail.

• Ability to sit for extended durations; occasional walking, standing, bending, stooping, and lifting up to 15 pounds.

• Close visual acuity for detailed work.

🏝️ Benefits

• Options for medical, dental, and vision insurance.

• Health savings accounts (HSA) and flexible spending accounts (FSA).

• 401(k) contributions from both employees and employers.

• Paid time off, including vacation, sick leave, and company holidays.

• Paid parental leave and family support benefits.

• Short-term and long-term disability insurance.

• Life and accidental death & dismemberment (AD&D) insurance.

• Employee assistance programs and wellness resources.

• Eligibility for bonuses, equity, or other incentive programs, depending on the role.