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PAYMENT SPECIALIST

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Posting Details

Posting Details

Position Title PAYMENT SPECIALIST
Job Category Clerical
Posting Number 20180007
Position Status Active-Full-Time
Positions Supervised

N/A

Customer Service Statement

CUSTOMER SERVICE: Demonstrate adherence to the Group’s Customer Service Standards designed to support the mission of USF Health: enhancing life by improving health through research, education and healthcare. Our commitment is to improve the full spectrum of health, from the environment, to the community, to the individual. Together, through talent and innovation, USF Health is developing real-world solutions to reach our shared value – making life better.

Position Summary

Responsible for processing all insurance payments and personal payments in accordance with payment posting procedures; review insurance payment amounts to determine if appropriate levels of reimbursement are being met; contacting various insurance companies and patients to resolve problems relating to reimbursement/payment; preparation of lockbox.

Position Requirements

Must be fluent and able to conduct business in English which includes reading, writing and speaking

Educational Requirements:

Education High School diploma

Experience Requirements:

Ability to operate a PC, two years of relevant job experience in a medical or insurance office.

Business Skill Requirements:

Required: Typing & 10 key, Excellent verbal and written communication skills. Must be detail oriented and possess accurate arithmetic skills.

Skills
Preferred: Extensive knowledge of cash posting principles, working knowledge of CPT/ICD-9 coding and insurance company reimbursement policies.

Preferred Attributes: ability to work independently, exhibit sound judgment, accuracy while meeting deadlines.

  • Requirements reflect the minimum level necessary to be eligible for this position. Equivalent combinations of education and experience may be considered.
Customer Service Performance

CUSTOMER SERVICE PERFORMANCE EXPECTATIONS: Courteous and helpful behavior towards patients, physicians, coworkers and external customers; professional and efficient verbal and written communications; accomplishing tasks through teamwork and initiative; and ensuring a timely and thorough response to complaints and/or critiques, and anticipating the needs of all you come in contact with.

Physical Demands
Special Instructions to Applicants
Location FOB-USF TAMPA CAMPUS
Department Name REV CYCLE OPERATIONS
Work Schedule Summary

Specific Duties and Responsibilities

Percentage 75
Duties

Enter all payments according to contract terms, fee schedules and third party regulations to patient accounts in an accurate and timely manner utilizing information provided on Explanation of Benefits (EOB ). Make independent decisions regarding correct posting of payments. Analyze for appropriate levels of reimbursement and identify inaccurate claims processing decisions by insurance companies. Maintain current reimbursement policies of various insurers to ensure maximum reimbursements. Work directly with Supervisor and lead to resolve incorrect reimbursements. Responsible for preparation, identification and application of all payments. Identify and consult with managers and supervisor on trends and issues. Recommend any system/operational changes to enhance the efficiency/accuracy of the department. Prepare the lockbox and balance on a daily basis. Maintain correspondence and letters up to date by posting adjustments, copays, deductibles and rejections also post information on invoice for insurance letters and distribute to Billers if needed as backup to employee whose primary responsibility this function belongs to.

Percentage 10
Duties

If unable to obtain accurate application information post payments to holding accounts and correspond with third party carrier through written correspondence. Resolve all holding accounts.

Percentage 10
Duties

Audit information on EOB against patient account discrepancies to be reported to supervisor for appropriate action.

Percentage 5
Duties

Other Duties as assigned (special projects, holding).

Posting Specific Questions

Required fields are indicated with an asterisk (*).

  1. * Do you have a High School Diploma or Equivalent?
    • Yes
    • No

Applicant Documents

Required Documents
  1. Resume
Optional Documents
  1. Cover Letter
  2. Letter of Recommendation 1
  3. Letter of Recommendation 2
  4. Letter of Recommendation 3