Senior Finance Specialist

All the benefits and perks you need for you and your family:

·     Benefits from Day One

·     Career Development

·     Whole Person Wellbeing Resources

·     Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Job Location: Altamonte Springs, FL

Shift: Full-Time, Monday-Friday

The role you will contribute:

The Senior Finance Specialist is 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 of payment activities, and other miscellaneous functions. AdventHealth services included in the Centralized Payment Posting activities are hospital, physician, urgent care, home health, hospice, among others.  The Senior Finance Specialist is responsible for accurate and timely execution of reconciliation activities surrounding payment posting, focusing on the significant, complex, and escalated reconciling adjustments.

The value you will bring to the team:

• Responsible for timely and accurate resolution of significant, complex, and escalated reconciling adjustments related to payment posting activities, including troubleshoot and resolve matching logic and provide resolution feedback to leadership

•   Through identifying and weighing available options, apply discretion, independent thinking, and judgment during resolution of reconciling adjustments

•   Identify and help resolve problems in the payment posting and reconciliation processes and when appropriate, identify potential outcomes, select most appropriate course of action, and initiate change to prevent future problems or improve existing processes

•   Review electronic remittances, evaluate Provider Level Balance (PLB) adjustments, and resolve electronic posting exceptions and variances, posting payments and adjustments to corresponding patient claims

•   Contact payors when additional information is necessary to address a payment posting issue

•   Perform effectively in fast-paced environment and demonstrate strong problem-solving skills

•   Achieve and maintain performance consistent with requirements for productivity, quality, and service levels

•   Develop and maintain productive team-oriented relationships through individual contacts and group meetings

•   Assist Centralized Payment Posting Supervisor in responding to inquiries and questions from Finance Specialists; participate in training of Finance Specialists as necessary

•   Develop and maintain an understanding of Federal, State, local and industry regulations, rules, and standards to help ensure compliance with payment posting and refund requirements (CMS, Federal and State legislation, etc.)

•   Collaborate with other department personnel, including representatives from revenue cycle, finance, accounting, IT, and physician practice

•   Achieve superior customer satisfaction by embracing and exemplifying the AdventHealth service standards

•   Perform other duties as assigned

•    Available outside of normal business hours for occasional support 

The expertise and experiences you'll need to succeed:

· Ability to demonstrate solid knowledge and application of generally accepted accounting principles

· Proficient in MS Office Suite (Outlook, Excel, Word)

· Ability to problem solve, use discretion to identify potential solutions and select best course of action to resolve the issue at hand

· Professional and effective in communication skills

· Demonstrate a strong attention to detail and thoroughness

· Effectively utilize available and relevant technical tools and resources (e.g. Microsoft Excel and other relevant software)

· Strong data entry skills

· Associate's degree in healthcare Administration, Finance, Accounting, Business Administration or High school diploma or equivalent plus three years relevant work experience in lieu of an Associate's degree

· Minimum two years of experience in healthcare revenue cycle or payment posting operations

Preferred Qualifications:

· Medical terminology, knowledge of insurance and reimbursement procedures

· Basic understanding of patient accounting systems

· Experience with ERP systems (e.g. PeopleSoft)

· Experience in posting insurance and patient payments, cash applications, cash posting for physician, home health and hospital services, including posting check and credit card payments, Electronic Fund Transfer (EFT), Automated Clearing House (ACH) and lock box payments

· Understanding of complexity around line level payment posting for physician posting

· Knowledge of HCFA 1500 and UB04

· Familiarity with insurance plans, Explanation of Benefits (EOBs) and Provider Level Balance (PLB) adjustments

· Experience in reconciling cash

· Experience in reconciliation of payments to physician claims and hospital services