Senior Payment Finance Specialist

6 days ago


Maitland, Florida, United States AdventHealth Full time
Accounting and Finance Role

We are seeking a highly skilled Senior Payment Finance Specialist to join our team at AdventHealth Corporate.

About the Job

The Senior Payment Finance Specialist will be part of a Centralized Payment Posting team responsible for payment posting activities for the majority of AdventHealth services provided. These activities include posting insurance and patient payments, managing patient refunds and credit balances, patient and insurance correspondence, reconciliation, and other miscellaneous functions.

Key Responsibilities:
  • Receive payments from third-party payors via lockbox and mail correspondence, then post payments to patient claims in the patient accounting system.
  • Review electronic remittances and resolve electronic posting exceptions and variances, posting payments to corresponding patient claims.
  • Interpret Explanation of Benefits (EOBs) and transfer remaining patient and secondary insurance liability to the appropriate payor or next responsible party.
  • Distinguish unidentified payments and post them to designated unidentified cash accounts.
  • Post and process all zero-balance EOBs daily.
  • Identify and help resolve problems in the payment posting processes and initiate changes when necessary.
  • Contact payors when additional information is necessary to address a payment posting issue.
  • Develop and maintain an understanding of Federal, State, local, and industry regulations, rules, and standards to ensure compliance with payment posting and refund requirements.
Requirements:
  • High School Graduation or Equivalent with 2 years of experience in a related field.
  • Experience in posting insurance and patient payments, cash applications, cash posting for physician, home health, and hospital services, including check and credit card payments, Electronic Fund Transfer (EFT), Automated Clearing House (ACH), and lock box payments.
  • Knowledge of HCFA 1500 and UB04, familiarity with insurance plans, and EOBs.
Benefits:

This role comes with a competitive salary range of $65,000 - $85,000 per year, depending on experience. Additionally, you will have access to a comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) retirement plan with company match.

AdventHealth is an equal opportunity employer and complies with federal, state, and local anti-discrimination laws, regulations, and ordinances. If you are passionate about making a difference in the lives of others and want to be part of a dynamic team, we encourage you to apply for this exciting opportunity.


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