Remote Payment Research Specialist

Jefferson Health; Jefferson Center (PA); Remote; USD 42,000 - 60,000; Full time

Job summary

Jefferson Health is seeking a Payment Research Representative to ensure proper handling and reconciliation of payments within the Revenue Cycle Enterprise. The role collaborates with Payment Representatives, Accounting and Finance to investigate and resolve cash processing issues.

The position requires strong MS Excel/Access skills, attention to detail, and the ability to work independently or as part of a team to maintain accurate accounts receivable and timely posting of batches.

Qualifications

• High School Diploma or GED required.
• Proficient in Windows 10 and Microsoft Office.
• Strong MS Excel and Access skills required.
• Ability to work independently and as part of a team with minimal supervision.
• Proficient in web tools and technology.
• Knowledge of accounting ledgers and balance sheets.
• Strong organizational and interpersonal skills; excellent verbal and written communication skills.

Responsibilities

• Interact with coworkers, visitors, and other staff consistent with the values of Jefferson.
• Identify and resolve payment issues through research and investigation.
• Review explanations of benefits to confirm payments were applied appropriately.
• Contact third party payors or view payor portals to obtain additional information.
• Utilize online payor portals, such as Navinet, for claims determination, eligibility, offset requests and appeals.
• Applies payment and adjustments to patient accounts per third party regulations, providing accurate accounts receivable and balance billing while meeting productivity benchmarks.
• Interprets and validates transaction postings of payments and denials from third party explanation of benefits.
• Research over-posted or undistributed credit balances via credit work queues.
• Confirm that cash records are properly linked to associated payment batches prior to posting.
• Ensure that batches are posted, reconciled, closed and processed timely and accurately.
• Communicate possible system and reimbursement issues to the supervisor for review.
• Adhere to workflows and ensure QA standards are maintained.

Skills

Strong communication

Organizational skills

Teamwork

Attention to detail

Independent worker

Education

High School Diploma/GED

Bachelor’s Degree in Accounting/Finance/Business

Tools

Windows 10

Microsoft Office

MS Excel

Access

Job description

Jefferson Health is seeking a Payment Research Representative to ensure proper handling and reconciliation of payments within the Revenue Cycle Enterprise. The role collaborates with Payment Representatives, Accounting and Finance to investigate and resolve cash processing issues.

The position requires strong MS Excel/Access skills, attention to detail, and the ability to work independently or as part of a team to maintain accurate accounts receivable and timely posting of batches.