Payment Processing Specialist – Business Office (FTD)

Arkansas Heart Hospital, LLC.; Little Rock (AR); On-site; USD 35,000 - 51,000; Full time

Job summary

Arkansas Heart Hospital, LLC. is seeking a Payment Processing Specialist - Business Office (FTD) to manage electronic and manual posting of insurance and patient payments. The role requires knowledge of medical charges and allowed amounts by insurers and precise data entry.

Work schedule Monday–Friday, 8-5 or as determined by supervisor. Primary duties include interpreting EOBs, posting payments and adjustments, balancing batches, and routing claims for secondary review.

Qualifications

• High School diploma or equivalent required.
• Minimum of one year experience processing medical charges and working with insurance explanation of benefits (EOBs).

Responsibilities

• Interpret insurance explanation of benefits from carriers.
• Determine processing requirements for payments and adjustments.
• Enter insurance payments and adjustments to patients' accounts accurately.
• Post personal payments to patients' accounts in a timely manner.
• Identify incorrectly processed EOBs and route for claim review.
• Balance all batches keyed.
• Process claims forwarded to secondary for review.
• Maintain responsibility for business office petty cash.
• Cross-train and provide backup for other business office functions.
• Perform other duties as assigned.

Skills

Attention to detail

Data entry

Insurance EOBs

Medical charges

Education

High School diploma or equivalent

Job description

This position is responsible for the electronic and manual posting of insurance and patient payments. Interprets insurance explanation of benefits (EOBs) and adjusts patient accounts accordingly. This position requires knowledge of medical charges and allowed amounts by insurance carriers and the ability to enter data with high attention to detail.

Work Schedule

Monday - Friday, 8-5 or as determined by supervisor.

Primary Duties:

• Interprets explanation of benefits from insurance carriers.
• Determines appropriate processing requirements regarding payments and adjustments to be posted.
• Enters insurance payments and associated adjustments to patients accounts in a timely and accurate manner.
• Posts personal payments to the patients accounts in a timely and accurate manner.
• Identifies any EOBs incorrectly processed and submits the EOBs to appropriate person for claim review.
• Balances all batches keyed.
• Properly processes all claims that need to be forwarded on to secondary for further review.
• Maintains responsibility for business office petty cash.
• May cross-train and provide backup for other business office functions.
• Performs other duties as assigned.

Qualifications/Specifications:

• Education: High School diploma or equivalent required.
• Experience: Minimum of one year experience processing medical charges and working with insurance explanation of benefits (EOBs).

Job Overview

Job Title:

Payment Processing Specialist - Business Office (FTD)