Specialist, Payment and Accounts Receivable

The Wright Center; Scranton (Lackawanna County); Hybrid; USD 42,000 - 56,000; Full time

Job summary

The Wright Center in Scranton, PA seeks a Payment & Accounts Receivable Specialist to manage posting, denial handling, AR follow up and refunds. The role supports efficient billing operations and ensures accuracy in healthcare financial processes.

A hybrid work option is available, with on-site participation for meetings as needed. Qualifications include a high school diploma and 1–3 years in medical billing/claims, plus familiarity with EOBs/EFTs/ERAs and Microsoft Office.

Qualifications

• High school diploma or equivalent is required.
• Excellent verbal and written communication skills.
• Able to work independently and as part of a team.
• Accurate attention to detail and problem-solving abilities.
• Experience with medical billing/claims is a plus.

Responsibilities

• Post payments to patient accounts and posted EFTs.
• Post denials and follow up with payers.
• Transfer copay/deductible balances to patient responsibility.
• Reconcile daily deposits.
• Perform remote bank deposits for checks.
• Utilize EOBs, EFTs and ERA data for analysis.
• Address aged receivables and research issues with claims.
• Support team with other projects as needed.

Skills

Attention to detail

Verbal communication

Written communication

Teamwork

Problem-solving

Education

High school diploma or equivalent

Tools

Microsoft Office

Medent

Job description

Description

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

While living and demonstrating our Core Values, the Payment & Accounts Receivable Specialist will:

• 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
• Able to work both independently and as part of a team