Payment Application & Reconciliation Specialist

Full Time
Phoenix, AZ 85015
Posted
Job description

At CORE, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

QUALIFICATIONS

  • High school diploma/GED or equivalent working knowledge preferred.
  • A minimum of two years experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
  • Prefer previous cash posting experience in a multiple lockbox environment.
  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

ESSENTIAL FUNCTIONS

  • Posting financial transactions through the use of automated systems and team processes.
  • Accurately interprets insurance explanation of benefits to ensure proper posting.
  • Retrieves and uploads 835 remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.
  • Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.
  • Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.
  • Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.

The Payment Application and Reconciliation Specialist Responsible for processing and posting all funds received daily to the appropriate accounts. Reviews identify and initiate the actions required to resolve outstanding credit balances.

The CORE Institute team is dedicated to making the lives of others better by practicing exceptional patient care. If you would like to be part of a dedicated, dynamic healthcare team in a challenging, rewarding environment, The CORE Institute is the right place for you to grow your career.

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