Payment Application Specialist

US Acute Care Solutions; Columbus (OH); Remote; USD 22,000 - 42,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

HSA and FSA options

401(k) with employer contributions

Paid time off and holidays

Parental leave

Disability insurance

Wellness resources

Bonus eligibility potential

Job summary

US Acute Care Solutions is seeking a Payment Application Specialist to ensure accurate and timely payment posting by resolving discrepancies between Athena and USACS systems. You will collaborate with internal teams and payers to maintain data integrity and support financial accuracy.

The role is remote, with responsibilities including processing unpostable items, contacting payers for missing information, and applying remittances to patient accounts.

Qualifications

• Experience with Health Insurance Websites/Portals
• Experience with Financial Records to resolve missing payments
• Proficient in review of Explanation of Benefits and Posting
• Prior experience in payment processing or revenue cycle management
• Experience communicating with payers to obtain missing information required

Responsibilities

• Collaborate with Athena team to identify and resolve duplicate or misrouted payment items via CRM
• Assist in balancing third-party collection vendor accounts for reconciliation
• Communicate with payers to obtain missing information required for payment posting
• Promote secure EFT/ACH payment methods via typical processes
• Post paper remittances and ERA files from Payor Web Portals into Athena accurately
• Monitor and document payment posting trends to drive improvements
• Apply payments to correct patient accounts and claims
• Perform additional duties as assigned and support team objectives
• Meet or exceed production and quality targets

Skills

Windows proficiency

Spreadsheet skills

Problem solving

Communication

Confidentiality

Organization

Willing to overtime

Attention to detail

Education

High School Diploma or equivalent

Preference for finance / healthcare administration education

Tools

Health Insurance Portals

Payor Web Portals

Job description

Where do you belong? Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success. USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.

Job Description

The Payment Application Specialist ensures accurate and timely payment posting by thoroughly researching and resolving discrepancies between Athena and USACS systems. They process the application of unpostable and correspondence records to the appropriate patient accounts through detailed review of supporting documentation. Additionally, they collaborate closely with internal teams and external payers to maintain data integrity, optimize revenue cycle processes, and support overall financial accuracy.

Location: Remote

ESSENTIAL JOB FUNCTIONS

• Proactively collaborate with the Athena team to identify, investigate, and resolve duplicate or misrouted payment items via CRM, ensuring accurate and efficient payment processing.
• Assist in balancing and reviewing third-party collection vendor accounts to support financial reconciliation and reporting accuracy.
• Communicate effectively with payers through phone and other channels to research and obtain missing or omitted information required for payment posting.
• Identify and facilitate opportunities to transition One Time Use credit card payers to more secure and efficient EFT/ACH payment methods using the BSG ticket process, improving payment speed and security.
• Review, upload, and accurately post paper remittances and Electronic Remittance Advice (ERA) files from Payor Web Portals into Athena, ensuring timely and accurate account updates.
• Monitor, document, and elevate emerging trends, recurring issues, or unusual payment posting challenges to support continuous process improvement.
• Accurately apply incoming unpostable and correspondence records to the correct patient accounts and claims, minimizing errors and delays in revenue recognition.
• Perform additional departmental duties as assigned, demonstrating flexibility and strong commitment to team objectives.
• Consistently meet or exceed production and quality targets set by management, contributing to overall departmental performance and success.

KNOWLEDGE, SKILLS, AND ABILITIES

• Proficiency with Windows-based PC hardware and software, especially spreadsheet applications for data analysis and reporting.
• Strong problem-solving skills to independently identify, research, and resolve complex discrepancies, communicating results clearly to management.
• Excellent interpersonal and communication abilities for professional interaction with employees, management, and external stakeholders.
• Strict commitment to maintaining confidentiality of sensitive patient and financial information.
• Highly organized with the ability to prioritize and manage multiple tasks effectively in a fast-paced environment.
• Willingness to work overtime and contribute extra effort during peak periods or special projects.
• Exceptional attention to detail to ensure accuracy in all tasks.

EDUCATION AND EXPERIENCE

• High School Diploma or equivalent required; additional education or certifications in finance, accounting, or healthcare administration preferred.
• Experience with Health Insurance Websites/Portals required.
• Experience with Financial Records to resolve missing payments required.
• Proficient in review of Explanation of Benefits and Posting required.
• Prior experience in payment processing, revenue cycle management, or related financial operations preferred.
• Experience in communicating with Payers to research and obtain missing or omitted information required.

PHYSICAL DEMANDS

Regularly required to sit for extended periods while performing job duties; occasional walking, standing, bending, stooping, and lifting of objects up to 15 pounds may be necessary.

Must possess close visual acuity to perform detailed work accurately.

Hourly Rate: $16.33-$30.21

Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.

USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.

Benefits may vary based on role, location, and employment status, but generally include:

• Medical, dental, and vision insurance options
• Health savings accounts (HSA) and flexible spending accounts (FSA)
• 401(k) employee and employer contributions
• Paid time off, including vacation, sick leave, and company holidays
• Paid parental leave & family support benefits
• Short-term and long-term disability insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Employee assistance programs & wellness resources
• Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.
• Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.