Payment Specialist

This is a fully remote position, open to applicants in Florida, +2 more states.

📋 Description

• Oversee the complete payment process for external vendors and service providers.

• Prepare, audit, validate, generate, and submit complex payment files.

• Monitor submissions for any rejections, exceptions, and errors; implement corrective measures.

• Reconcile vendor platforms, internal systems, bank reports, payment batches, and Jopari acknowledgment reports.

• Investigate, troubleshoot, and resolve payment discrepancies, balancing issues, and processing errors.

• Process requests for payment reissues, voids, stop payments, recoupments, offsets, and refunds.

• Act as a subject matter expert and liaison for provider payment inquiries, escalations, and status investigations.

• Collaborate with internal departments, vendors, banking partners, and IT resources.

• Maintain audit-ready documentation while safeguarding sensitive information.

• Analyze payment trends and provide reports on accuracy, aging, rejections, reconciliations, and resolution timelines.

• Identify risks and inefficiencies, recommending process enhancements.

• Generate and distribute Explanation of Reimbursement documentation.

• Manage and prioritize the accounts payable queue.

• Review outstanding accounts payable reports with the Manager of Revenue Management.

• Assist with audits, special projects, workflow improvements, system testing, and implementations.

• Offer payment-processing training and support to team members.

• Utilize AI tools to enhance efficiency and output quality.

• Adhere to information security policies and maintain consistent attendance.

⛳️ Requirements

• Exceptional attention to detail.

• Knowledge of medical billing, short payments, and denials.

• Experience in reconciliation across various systems.

• Strong interpersonal skills.

• Ability to communicate professionally and effectively in person, via phone, electronically, or through other means to individuals and groups.

• Capable of effectively interacting with individuals at all organizational levels.

• Proven ability to manage multiple projects while adhering to deadlines.

• Proficient in reading and comprehending simple instructions, short correspondence, memos, and other documentation.

• Dedication to excellence and maintaining high standards.

• Ability to work independently as well as collaboratively within various teams and committees.

• Must be able to speak, read, write, and understand English.

• Advanced proficiency in Microsoft Excel.

• Familiarity with Microsoft Access.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• Opportunities for professional development and career advancement.

• Flexible work environment.

• Employee recognition programs.

• Competitive salary and performance-based incentives.