Payment Reconciliation Specialist

St. Luke’s Health Network, Inc.; Allentown (Lehigh County); On-site; USD 28,000 - 34,000; Full time

Job summary

St. Luke's University Health Network is seeking a Payment and Reconciliation Specialist I to support accurate posting and reconciliation of patient and insurance payments. Responsibilities include handling EFTs, ERAs, and deposits, with focus on timely cash posting and GL balancing.

The role requires basic PC skills, proficiency in Excel/Word, and at least one year of medical cash posting experience. On-site with potential remote/hybrid options after 6 months, based on performance and manager

Qualifications

• High school diploma or equivalent required.
• Entry level position with proficient PC skills.
• Strong organizational skills and detail orientation.
• Knowledge of Microsoft Excel and Word.
• One year of medical cash posting or line item posting preferred.

Responsibilities

• Identifies and imports all electronic remittances from each contracted third party payer website.
• Retrieves and uploads patient and insurance payment files from multiple lock boxes.
• Analyzes and processes all payments, adjustments, rejections and deductibles not posted electronically.
• Identifies, prepares and posts all payments to accounts receivable; ensures accurate posting of non-patient cash payments.
• Applies payments, balances cash receipts, verifies and reconciles each payment batch.
• Utilizes electronic credit card systems to post and balance all credit card transactions to AR.
• Posts all non-payment EOBs and enters accurate rejection codes for correct AR flow.
• Researches and resolves any unapplied/unidentified payments timely.
• Ensures all monies are accounted for using GL codes and facility account assignments.
• Posts wire transfers and manual deposits, including checks.

Skills

Microsoft Excel

Microsoft Word

Data entry

Problem solving

Attention to detail

Education

High school diploma or equivalent

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

HOURS :

Full Time, 40 hours/week

Core hours are Mon-Fri 7:00 AM - 3:30 PM

Flexible hours available:

7-3:30,7:30-4, 8-4:30, 8:30-5:00.

There are also opportunities for 6:30-3:00, 4/9's with a ½ day or 4/10's after training.

No weekends, no holidays, no nights

Home location is St. Luke's Center, Allentown, PA with the opportunity to work remote or hybrid remote, after at least 6 months on site and at the discretion of the manager, for PA and NJ candidates.

This position is responsible for cash follow-up as well as cash posting, calling insurance companies is a must.

The Payment and Reconciliation Specialist I is responsible for the accurate and timely preparation, posting and reconciliation of patient and insurance payments and related deposits. Also responsible for reconciliation and balancing of Electronic Funds Transfers (EFTs), Electronic Remittance Transfers (ERAs), Credit Card payment files and daily lock box batches.

JOB DUTIES AND RESPONSIBILITIES:

• Identifies and imports all electronic remittances from each contracted third party payer website.
• Retrieves and uploads patient and insurance payment files from multiple lock boxes.
• Analyzes and processes all payments, adjustments, rejections and deductibles that were not posted electronically.
• Identifies, prepares and posts all payments to the accounts receivable that have been billed by the Business Office. Ensures the accurate posting of non-patient cash payments.
• Applies payments, balances cash receipts, verifies and reconciles for accuracy each payment batch.
• Utilizes electronic credit card approval systems to post and balance all credit card transactions to the accounts receivable.
• Posts all non-payment explanation of benefits (EOBs) and enter accurate rejection codes to ensure account flows to the correct Accounts Receivable Analyst.
• Researches and resolve timely any unapplied/unidentified payments received.
• Ensures all monies are being accounted for correctly using various General Ledger code sets and accurate facility account assignments
• Posts all wire transfers and manual deposits including the readying of checks received for deposit.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to 8 hours per day, 4 hours at a time. Consistent use of hands and fingers for data entry, typing, telephones, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 10 pounds. Stoops, bends, and reaches above the shoulder level to retrieve files. Hearing as it relates to normal conversation and telephone. Seeing as it relates to general vision. Visual monotony when reading reports and viewing computer screen.

EDUCATION:

High school graduate required or equivalent.

TRAINING AND EXPERIENCE:

Entry level position requiring proficient PC skills.

Strong organizational skills and detail oriented required.

Knowledge of Microsoft Excel and Word.

Good research skills and excellent problem solving skills required.

One year of medical cash posting or line item posting preferred.

St. Luke's University Health Network is an Equal Opportunity Employer.