Payment Solutions Specialist – Accuracy & Resolution

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

📋 Description

• Conduct research and resolve discrepancies in payments and account variances to maintain accurate account balances and ensure proper payment application.

• Manage assigned Athenahealth worklists by reviewing patient accounts and determining suitable resolutions based on payment, adjustments, and account activity.

• Investigate payments that are unapplied, misapplied, unidentified, or unallocated, and take corrective measures when necessary.

• Review and process patient and insurance refunds in line with departmental policies and regulatory standards.

• Verify deposits and reconcile payment activities using bank portals, payer portals, internal reporting, and supporting systems.

• Gather remittance information and necessary supporting documentation to facilitate payment research and account resolution.

• Utilize Athenahealth as the main workflow platform while employing Tableau and LK Oasis for account analysis and research.

• Monitor and respond to departmental communications, including shared mailboxes, within established service level expectations.

• Identify recurring issues related to payments or accounts and communicate trends, workflow obstacles, and opportunities for improvement to leadership.

• Collaborate with internal Revenue Cycle departments, vendors, payers, and other stakeholders to address account-related concerns.

• Assist with audits, special projects, process improvement initiatives, and cross-departmental activities as assigned.

• Maintain set productivity, quality, and accuracy standards.

• Comply with HIPAA regulations, company policies, and confidentiality requirements while ensuring the protection of Protected Health Information (PHI).

• Engage in prolonged sitting, computer usage, keyboarding, data entry, and repetitive tasks throughout the workday.

⛳️ Requirements

• High School Diploma, GED, or equivalent is required.

• At least one (1) year of experience in healthcare revenue cycle, medical billing, payment posting, payment reconciliation, refunds, banking, accounting, collections, or a related field.

• Strong analytical and problem-solving abilities.

• Capability to interpret payment activity, identify discrepancies, and establish appropriate resolutions.

• Proficient in Microsoft Office applications, including Excel and Outlook.

• Exceptional written and verbal communication skills.

• Strong organizational skills and meticulous attention to detail.

• Ability to prioritize tasks, manage multiple assignments, and meet deadlines.

• Capacity to work independently while also contributing to a collaborative team environment.

• Proven commitment to quality, accuracy, and continuous improvement.

• Ability to communicate effectively in a virtual setting.

• Preferred: Experience working with Athenahealth.

• Preferred: Experience in managing payment-related worklists and account resolution activities.

• Preferred: Understanding of patient and insurance refund processes.

• Preferred: Background in banking, cash application, reconciliation, or payment research.

• Preferred: Familiarity with payer portals, remittance processing, and healthcare reimbursement workflows.

🏝️ Benefits

• Medical coverage

• Dental coverage

• Life insurance

• Disability coverage

• Vision coverage

• FSA coverage

• 401k savings plan