Specialist, Payment and Accounts Receivable

The Wright Center for Graduate Medical Education; Scranton (Lackawanna County); Hybrid; USD 42,000 - 64,000; Full time

Job summary

The Wright Center for Graduate Medical Education is seeking a Payment & Accounts Receivable Specialist to manage billing operations, posting payments, posting denials, AR follow-up, and refunds. The role supports the revenue cycle and requires accuracy, strong organizational skills, and attention to detail.

Work is typically in an office setting with the option to work from home; occasional onsite presence for meetings and projects may be required within a hybrid environment.

Qualifications

• 1-3 years medical billing/claims experience.
• Knowledge of EOBs, EFTs and ERAs.
• Experience with CPT codes and ICD-10 coding.
• Experience with electronic medical records.
• Medent experience preferred.
• Strong communication and organizational skills.

Responsibilities

• Post all mail and EFT insurance and personal payments to patient accounts.
• Post denials to patient accounts and follow up with payer.
• Reconcile daily deposits and perform remote bank deposits.
• Research and resolve claims rejected by payer.
• Deliver high-quality medical customer service to providers and internal teams.
• Assist team with projects as needed.

Skills

Attention to detail

Problem-solving

Organized

Self-directed

Verbal communication

Written communication

Education

High school diploma or equivalent

Tools

Medent

Microsoft Office

Job description

The Payment & Accounts Receivable Specialist provides financial, administrative and clerical services to ensure accuracy and efficiency of billing operations. This position performs payment posting, insurance denial posting and AR follow up, insurance submission, patient refund preparation, prepares deposits and other AR tasks. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.

POSITION SUMMARY

The Payment & Accounts Receivable Specialist provides financial, administrative and clerical services to ensure accuracy and efficiency of billing operations. This position performs payment posting, insurance denial posting and AR follow up, insurance submission, patient refund preparation, prepares deposits and other AR tasks. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.

Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.

REPORTING RELATIONSHIPS

The position reports to the Director of Revenue Cycle. No staff report to this position.

ESSENTIAL JOB DUTIES And FUNCTIONS

• Post all mail and EFT insurance and personal payments to patient’s accounts
• Post denials to patient accounts and follow up with payer
• Transfer copay/co-insurance and deductible balances to patient responsibility
• Reconciliation of daily deposits
• Perform remote bank deposit for checks received in the mail
• Knowledge of EOB’s, EFT’s and ERA’s
• Analyze EOB’s, balance healthcare insurance and patient payments
• Perform adjustments and credits to medical accounts as needed
• Follow up on outstanding accounts receivable, focusing on maintaining aged receivables within 90 days of days outstanding. Includes researching aged account reports, outstanding “to-do” list, and processing problematic EOB’s
• Make all necessary corrections in the billing system. Research and resolve claims rejected by payer
• Use online Healthcare databases and other resources for verification and claim status
• Deliver the highest quality medical customer service to healthcare providers and internal providers
• Assist other members of the team with other projects as needed
• Research outstanding credit balances and prepare requests for refunds
• Other duties as assigned by management

Requirements

• Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
• Buy in and experience working in the EOS® model (strongly preferred)
• Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
• High school degree or equivalent
• 1 - 3 years medical billing/claims experience
• Knowledge of EOBs, EFTs and ERAs
• Experience in CPT codes and ICD 10 coding preferred
• Experience with electronic medical records preferred
• FQHC billing and payment posting preferred, but will train the right candidate
• Medent experience preferred
• Knowledge of Microsoft Office software
• Must be focused, self-directed, organized, and have demonstrated problem-solving abilities
• Accurate and precise attention to detail
• Excellent verbal and written communication skills