Payment Analyst

4 weeks ago

Atlanta, United States Prestige Staffing Full time

The Payment Analyst is responsible for daily posting of payments for Professional and Retail pharmacy

claims, posting of zero pay denials, allocating copays to patient balances, running reports, submitting

refund and transfer requests, submitting transfers to NSH, processing refund checks, daily balancing,

and reconciling to ensure accurate balances reflect in patient accounts.

Role and Responsibilities

• Posts Medical and Retail Pharmacy Insurance payments and Patient payments daily

• Allocation of copays and prepares the deposit bags for NSH Accounting

• Corrects, conducts reversals if needed and applies patient and insurance payments including all bill

types and corresponding contractual adjustments to patient accounts.

• Lists unidentified payments to correct lockbox, documenting transactions to maintain adequate

audit trail and posts received amounts to lockbox spreadsheet obtained from Wells Fargo

• Resolves misdirected payments and submits refund requests to return incorrect payments to

sender.

• Copies any zero payments (denials) to appropriate Patient Account Representative for follow-up and

posts appropriately to systems.

• Submits live checks to Wells Fargo bank institution

• Corrects and posts debit/credit adjustments of misapplied payments to ensure accurate and timely

reporting of accounts.

• Prepares and processes patient and insurance refunds

• Prepares and processes transfers to NSH billing system (STAR)

• Brings system related issues immediately to management???s attention.

• Brings possible process improvement to management???s attention to discuss/review

• Participates in recommended online educational classes through ADP

• Maintains strictest confidentiality.

• Other duties as assigned

• COVID19 adjustments may be required ??? (change to hours, location, responsibilities)

• Adhere to the Standards of Excellence

Qualifications and Education Requirements

High School Diploma or equivalent education and a minimum of two (2) years related experience in

Payment Posting in a Specialists physician???s office is required.

Preferred Skills

Knowledge of medical terminology. Excellent oral and written communication skills. Good interpersonal

skills and team oriented. Ability to multi-task and work effectively in teams

Computer Skills Microsoft Office programs. Basic printing/faxing/scanning Language and Mathematical Skills English (reading, writing and verbal); Basic Math Skills Physical Demands This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, kneeling, bending/stooping, twisting, pulling/pushing and reaching above the shoulder. This position also may require the occasional lifting of equipment up to 25 lbs. Other information The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual???s position.

Service Excellence Standards

Professionalism

• We will demonstrate respect and courtesy to patients, visitors or anyone in contact with the

organization

• We will greet all patients, visitors and coworkers while making appropriate eye contact

• We will introduce ourselves and our role and adhere to the organization???s dress code and

departmental standards

• We will be mindful and take responsibility for the cleanliness and safety of the organization???s

environment and pick up any litter or debris

• We will be aware and sensitive to our body language and use tone of voice that is respectful

when communicating with patients, visitors and coworkers

Communication

• We will provide explanations to patients and provide information regarding any delays related

to the patient???s financial experience with ACC

• We will use easily understood and appropriate language when communicating with patients,

families, coworkers and others

• We will speak positively of patients, visitors and coworkers

• We will use professional and service-oriented phone etiquette at all times

Responsiveness

• We will anticipate and respond to the needs and expectations of others throughout the

organization

• We will anticipate and provide updates to patients, families and customers concerning wait

times, thank patients and families for waiting and apologize for any delays

• We will take action to solve problems without prompting throughout the organization

• We will quickly respond to any patient, family or customer concerns or questions and assume ownership of all issues brought to our attention • We will elevate concerns to appropriate staff or leaders Ownership and Accountability • We will take personal responsibility for decisions and actions • We will maintain the confidentiality of all information acquired in the course of our work (i.e. patient protected health and non-public proprietary company information) • We will be good stewards of the organization???s resources • We will participate in process improvement activities and take part in creating solutions • We will work in a cooperative manner with management/supervision, coworkers, patients, customers and vendors to ensure patient care quality and safety Commitment to Co-workers • We will demonstrate team work by working collaboratively toward achieving positive outcomes and resolving problems • We will avoid threatening, intimidating, coercing or otherwise interfering with the job performance of coworkers • We will anticipate and respond to the needs of our coworkers at all times • We will provide necessary information and effective plans before leaving work areas to keep others informed • We will take responsibility for the ???common work??? of our area (keeping workspaces clean, managing supplies)

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