Payment Specialist

3 weeks ago


Troy, Michigan, United States Integra Partners Full time
Job Summary

We are seeking a highly skilled Payment Analyst to join our team at Integra Partners. As a key member of our Financial Operations team, you will play a critical role in ensuring the seamless delivery of payments and resolving any issues that may arise.

Key Responsibilities
  • Investigate and resolve Electronic Remittance Advices (ERA)/835 issues with our clearinghouse, payer clearinghouse, or payer directly.
  • Coordinate payer/provider outreach to obtain missing information needed to apply payments or recoupments.
  • Assist the payment posting team with identifying, researching, and ensuring timely processing of large payment projects.
  • Investigate the source of unapplied payments to ensure they are applied to the correct claims.
  • Provide expertise on CMS and state Medicaid guidelines for informing reports and processes on DME unit allowable and frequency guidelines.
  • Assist with the testing of new payers added to the payment integrity monitoring workstreams.
  • Help coordinate the initial outreach and follow-ups for actionable insights from payment integrity monitoring.
  • Review samples of denial trends to assist with identifying whether a denial is Payer or Provider driven.
  • Provide interpretation of claim supporting documentation to validate denials received.
  • Measure provider-driven billing trend changes and develop the ability to track progress.
  • Assist with the managing of payment posting inventory across several workstreams.
Requirements
  • Bachelor's degree desired or equivalent experience.
  • Ability to work well in a high-growth, fast-moving, entrepreneurial environment.
  • Excellent written and verbal communication skills.
  • Proven ability to build strong partnerships across the organization, influence others, and work collaboratively within a team-oriented environment.
  • Possess the willingness and ability to get beyond the obvious causes of outliers and investigate, identify, and summarize the underlying root causes.
  • Efficient time and resource management skills to ensure that the service level provided exceeds expectations with a strong commitment to team success and team goals.
  • Comfort with ambiguity and ability to effectively multi-task, make tradeoffs, take initiative, and prioritize within a fast-paced, demanding environment.
  • Familiarity with the 1500 claim forms and DMEPOS services.
  • Knowledge of ICD-10, HCPCS, and medical terminology.
  • Understanding of CMS guidelines and Medical Policy adopted by the plans.
  • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting.
  • Possess investigative skills to independently conduct all claims and payment reviews, as well as other insurance-related investigations.
What We Offer
  • Competitive compensation and annual bonus program.
  • 401(k) retirement program with company match.
  • Company-paid life insurance.
  • Company-paid short-term disability coverage (location restrictions may apply).
  • Medical, Vision, and Dental benefits.
  • Paid Time Off (PTO).
  • Paid Parental Leave.
  • Sick Time.
  • Paid company holidays and floating holidays.
  • Quarterly company-sponsored events.
  • Health and wellness programs.
  • Career development opportunities.
Remote Opportunities

We are actively seeking new colleagues in Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington.

We are an equal opportunity employer and are committed to providing reasonable accommodations. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out.



  • Troy, Michigan, United States Henry Ford Health System Full time

    Job Summary:The Payment Applications Specialist is responsible for accurately processing payments received from patients and third-party payers to healthcare accounts receivable across a multi-facility integrated healthcare delivery system.This includes managing billing associated with Henry Ford Health System hospitals, outpatient clinics, and employed...

  • Collection Specialist

    4 weeks ago


    Troy, Michigan, United States Refloor Full time

    Join Our Team as a Collection SpecialistWe are seeking a highly motivated and organized Collection Specialist to join our team at Refloor. As a key member of our team, you will be responsible for monitoring accounts, investigating historical data, and taking actions to encourage timely debt payments.Key Responsibilities:Monitor accounts to identify...


  • Troy, Michigan, United States Orlans PC Full time

    Job Title: Phone Collections SpecialistOrlans PC is seeking experienced individuals to join our Money Judgement/Consumer Litigation team as a Phone Collections Specialist. This role involves processing high-volume debtor phone calls and negotiating settlements, payment plans, or other payment arrangements in accordance with client guidelines.Key...


  • Troy, Michigan, United States Orlans PC Full time

    Job DescriptionOrlans PC is seeking experienced individuals to join our Money Judgement/Consumer Litigation team as a Phone Collections Specialist. This role involves processing high-volume debtor phone calls and negotiating settlements, payment plans, or other payment arrangements in accordance with client guidelines.The Phone Collections Specialist...


  • Troy, Michigan, United States California Pizza Kitchen Full time

    Be Part of a Dynamic Team at California Pizza KitchenWe're seeking a Take Out Specialist to join our team at California Pizza Kitchen. As a Take Out Specialist, you'll be responsible for capturing walk-in and phone orders, partnering with third-party delivery companies, and facilitating online orders. You'll also collect payment, provide accurate quote...

  • AP/AR Specialist

    3 days ago


    Troy, Michigan, United States Aim Global Solutions Full time

    AP/AR Specialist Opportunity at Aim Global SolutionsAim Global Solutions is seeking a highly skilled AP/AR Specialist to join our team in Troy, MI. As a key member of our financial operations team, you will play a critical role in ensuring the smooth functioning of our accounts payable and accounts receivable processes.Main Responsibilities:Manage the...


  • Troy, Michigan, United States Jars Cannabis Full time

    Senior Accounts Payable/Accounts Receivable SpecialistJARS Cannabis is seeking a highly skilled Senior Accounts Payable/Accounts Receivable Specialist to join our accounting team. As a key member of our finance department, you will be responsible for processing and maintaining accounts payable and accounts receivable records, reconciling vendor and customer...

  • Accounting Specialist

    3 hours ago


    Troy, Michigan, United States ITW Full time

    Accounting Specialist Job DescriptionAt ITW Food Equipment Group, we're passionate about creating great food and building strong relationships. Our family of premium brands has been dedicated to supporting those who share our passion for over a century.We're looking for an Accounting Specialist to join our team in Troy, Ohio. As an Accounting Specialist,...


  • Troy, Michigan, United States Jars Cannabis Full time

    Accounts Payable/Accounts Receivable SpecialistJARS Cannabis is seeking a highly skilled and detail-oriented Accounts Payable/Accounts Receivable Specialist to join our accounting team. As a key member of our finance team, you will be responsible for processing and maintaining accounts payable and accounts receivable records, reconciling vendor and customer...

  • AP/AR Specialist

    3 days ago


    Troy, Michigan, United States Aim Global Solutions Full time

    AP/AR Specialist OpportunityAim Global Solutions is seeking a highly skilled AP/AR Specialist to join our team in Troy, MI. As a key member of our financial operations team, you will be responsible for managing the day-to-day functions of Accounts Payable and Accounts Receivable.Main Responsibilities:Manage vendor payments process, including approvals,...

  • Accounting Specialist

    3 weeks ago


    Troy, Michigan, United States ITW Full time

    Accounting Specialist Job DescriptionWe are seeking a highly motivated and detail-oriented Accounting Specialist to join our team at ITW Food Equipment Group in Troy, Ohio.Key Responsibilities:Process domestic invoice/order adjustments for all supported business units within the Epicor system.Process domestic billings for Retail and Foodservice sales along...


  • Troy, Michigan, United States Michigan Schools and Government Credit Union Full time

    Job Title: Digital Service SpecialistMichigan Schools and Government Credit Union (MSGCU) is seeking a highly skilled Digital Service Specialist to join our team. As a Digital Service Specialist, you will be responsible for providing exceptional member service and support through digital channels, including online and mobile banking, online bill payment, and...


  • Troy, Michigan, United States Jars Cannabis Full time

    Job Title: Accounts Payable/Accounts Receivable SpecialistAbout the Role:JARS Cannabis is seeking an experienced Accounts Payable/Accounts Receivable Specialist to join our accounting team. As a key member of our finance team, you will be responsible for processing and maintaining accounts payable and accounts receivable records, reconciling vendor and...

  • Nursing Specialist

    4 weeks ago


    Troy, Michigan, United States FusionTech Full time

    About the JobWe are seeking a skilled Nursing Specialist to join our team at FusionTech. As a palliative care specialist, you will be responsible for providing high-quality care to our patients in a respectful and supportive environment.Key ResponsibilitiesProvide compassionate and individualized care to patients with complex needsCollaborate with our...


  • Troy, Michigan, United States ICONMA Full time

    Accounts Receivable Billing SpecialistAt ICONMA, we are seeking a highly skilled Accounts Receivable Billing Specialist to join our team in Troy, Michigan. As a key member of our financial operations team, you will play a critical role in ensuring accurate and timely billing for our clients.Responsibilities:Verify and Enter Client Billing: Ensure accurate...

  • Accounting Specialist

    2 weeks ago


    Troy, Michigan, United States IRI Consultants Inc Full time

    Job SummaryWe are seeking an experienced Accounting Specialist to join our team at IRI Consultants Inc. The successful candidate will be responsible for assisting the accounting department with invoicing, receipt and accounting of funds, and other accounting functions.Key ResponsibilitiesPrepare and distribute invoices to clients via their preferred...

  • AP/AR Specialist

    2 weeks ago


    Troy, Michigan, United States Aim Global Solutions Full time

    Job OverviewAim Global Solutions is seeking a highly skilled AP/AR Specialist to join our team. As a key member of our financial operations team, you will be responsible for managing the day-to-day functions of Accounts Payable and Accounts Receivable.Main Responsibilities:Manage the day-to-day functions of Accounts Payable and Accounts Receivable, ensuring...


  • Troy, Michigan, United States Jars Cannabis Full time

    JARS CannabisSenior Accounts Payable/Accounts Receivable Specialist - Corporate - MichiganUnlock Your Potential in the Cannabis IndustryJARS Cannabis is a leading cannabis brand and retailer seeking a highly skilled Senior Accounts Payable/Accounts Receivable Specialist to join our corporate team in Michigan. As a key member of our financial operations team,...


  • Troy, Michigan, United States Jars Cannabis Full time

    Job Title: Senior Accounts Payable/Accounts Receivable SpecialistJARS Cannabis is seeking a highly skilled and experienced Senior Accounts Payable/Accounts Receivable Specialist to join our accounting team. As a key member of our team, you will be responsible for processing and maintaining accounts payable and accounts receivable records, reconciling vendor...


  • Troy, Michigan, United States Jars Cannabis Full time

    Accounts Payable/Accounts Receivable SpecialistJARS Cannabis is a culturally inspired organization on a mission to rewrite the existing narratives that surround cannabis, one community at a time. We seek to empower the future leaders of our industry while creating an inclusive workplace environment that is fueled by celebrating the intersection of cannabis...