RCM - Payments Specialist

Position: RCM Payment Specialist Reports To: RCM Cash Posting Manager Classification: Non-Exempt/Full-Time Location: Remote

Job Description:

The RCM Payment Specialist is responsible for timely and accurately posting payments into the systems, maintaining unidentified payment logs, analyzing account payments, and other related duties as required.

Primary Responsibilities:

• Preparation and posting of all payments and adjustments daily.
• Complete daily processing procedures including batch and balancing responsibilities.
• Reverse payments and assess insufficient funding in systems.
• Document actions in systems with comments and relevant data.
• Responsible for using reports, tools and other resources provided for the accurate posting of cash receipts.
• Balances cash postings to patient and third-party accounts according to EOB’s.
• Understands and keys cash from all payer groups.
• Responsible for properly logging completed batches.
• Responsible for understanding and appropriately applying recoupments from payers.
• Responsible for obtaining missing EOB’s as needed.
• Maintain current knowledge of payment rules and regulations.
• Ability to demonstrate problem solving skills.
• Responsible for meeting monthly individual and team performance goals.

QUALIFICATIONS:

• Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.
• Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy.
• Must have excellent analytical and problem-solving skills.
• Ability to work easily and cooperatively with other departments.
• Ability to work independently and follow through on tasks without direct supervision.
• Ability to work well under pressure in a flexible and expeditious manner.
• Must have experience with Microsoft Products and PMS systems, EMR systems, and clearing houses.

EXPERIENCE / EDUCATIONAL REQUIREMENTS:

Education:

Graduate of four-year high school or equivalent (GED).

Experience:

• 3 - 5 years: Three to five years healthcare RCM experience related to the described duties.
• Skills and Knowledge of EMR software functionality and operations.
• Proficiency in Microsoft Office Applications.