Payment Specialist

HopeHealth, Inc.; Florence (SC); On-site; USD 42,000 - 60,000; Full time

Job summary

HopeHealth, Inc. in Florence, SC seeks a Payment Specialist to ensure timely posting of all payments and related tasks. The role involves processing ERA files, retrieving explanations of benefits, and reconciling payments with payers.

Strong attention to detail and organizational skills are essential. Qualified candidates have a High School diploma or GED, 1–2 years in health insurance/healthcare, and solid computer skills.

Qualifications

• High School diploma or GED required or equivalent
• Associate degree or certification preferred
• 1–2 years experience in health insurance/healthcare industry knowledge required
• Knowledge of insurance industry and medical terminology helpful

Responsibilities

• Accurately process ERA files by importing Electronic Remittance Advice daily
• Retrieve Explanations of Benefits from payer websites when required to post payments
• Complete the posting of all payments and non-payments daily
• Work with payers for missing documentation needed to post payments within lag time
• Cross train to provide support to other Payment Specialist(s)
• Reconcile payments with clearinghouse or other sources
• Escalate payer-specific ERAs not posting correctly
• Process incoming correspondence
• Other assigned duties

Skills

Oral communication

Written communication

Computer skills

Insurance knowledge

Medical terminology

Attention to detail

Organizational skills

Flexibility

Priorities management

Education

High School diploma or GED

Associate degree/certification preferred

Job description

Overview Of Positions

Provides the necessary functions to post all payments in a timely and appropriate manner.

Qualifications

High School diploma or GED, Associate degree/certification preferred, 1-2 years-experience in health insurance and/or healthcare industry knowledge is required.

Knowledge/Skills

Good oral and written skills, excellent computer skills, knowledge of insurance industry and medical terminology. Detailed oriented with strong organizational skills. Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.

Essential Job Functions

• Accurately process ERA files by importing Electronic Remittance Advice daily.
• Retrieve Explanations of Benefits from payer websites when required to post payment.
• Complete the posting of all payments and non-payments daily.
• Work with payers for missing documentation needed in order to post payments within established lag time.
• Cross train to provide support to other Payment Specialist(s).
• Reconcile payments with clearinghouse or other sources.
• Escalate payer specific ERAs that are not posting correctly.
• Process incoming correspondence.
• Other assigned duties.

Physical Requirement

Must possess the ability to communicate in the dominant language of the geographic region. Must be able to lift 30 pounds. Vision and hearing corrected within normal limits is required. Must have manual dexterity to key in data, grab, grip, hold, tear, cut, sort, and reach.