Payments Specialist
Payments Specialist
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Job Description
Welcome to Ovation Healthcare!
At Ovation Healthcare (formerly QHR Health) weve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcares vision is to be a dynamic integrated professional services company delivering innovative and executable solutions through experience and thought leadership while valuing trust respect and customer focused behavior.
Were looking for talented motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcares corporateheadquartersis located in Brentwood TN. For more information visit.
Summary:
The Payments Specialist is responsible for the manual and electronic posting of insurance and patientpayments as well as daily balancing and maintenance of team folders. Payments are received as
Lockboxes ACHs Credit Cards and Over the Counter deposits. The Payments Specialists work to
accurately meet all daily weekly and monthly goals including deposits.
Duties & Responsibilities:
Posting Lockboxes and ACHs:
Retrieve daily deposits in our document management system.
Identify payment information and manually post to patient accounts (Lockboxes).
Daily posting of the Electronic Remittance Advices including all payments and adjustments needed
(ACHs).
Any missing ERAs are designated as Pending to be located and applied to the correct accounts.
Identifying Denials:
The poster finds denials and sends them on for further review
Posting Credit Card and Over the Counter Payments Daily Balancing:
All Specialists balance daily deposits for each client identifying any possible posting issues andnotifying the applicable personnel for corrections.
Payment Processing:
Manage and process all incoming payments from patients insurance companies and third-partypayers. Ensure payments are accurately recorded in the hospitals financial system.
Billing Management:
Oversee the preparation and submission of bills for hospital services to insurance companies andpatients. Review billing codes medical records and other documentation for accuracy beforesubmission.
Insurance Claims:
Submit insurance claims track their status and follow up on unpaid claims. Ensure all claims aresubmitted in compliance with insurance company guidelines and government regulations.
Payment Reconciliation:
Reconcile patient accounts insurance payments and other financial transactions. Ensure accurate balancing of accounts and resolve discrepancies as needed.
Patient Communication:
Communicate with patients regarding outstanding balances payment plans and billing inquiries.
Assist patients in understanding their insurance coverage and hospital charges.
Financial Reporting:
Assist in the preparation of financial reports related to payments billing and accounts receivable.
Provide detailed information to department heads and hospital leadership as needed.
Compliance & Regulations:
Ensure all payment processing activities are in compliance with healthcare laws regulations andhospital policies. Stay informed on changes in billing codes insurance requirements andgovernment regulations.
Customer Service:
Provide exceptional customer service to patients family members and insurance providers.
Address inquiries regarding billing discrepancies payment plans and account statuses.
Data Entry & Recordkeeping:
Accurately enter payment information into the hospitals financial software system. Maintainorganized records of payments invoices claims and communications.
Collaborate with Other Departments:
Work closely with other departments such as the revenue cycle team finance and patientservices to ensure smooth operations and efficient payment processing.
Knowledge Skills and Abilities:
Posters will learn to read EOBs and ERAs to accurately post payments to patient accounts.
This requires both accuracy and speed to attain all departmental goals.
Strong understanding of medical billing codes (CPT ICD-10 HCPCS).
Familiarity with insurance policies payment processes and healthcare billing regulations.
Proficiency in financial software and Microsoft Office Suite (Excel Word etc.).
Excellent attention to detail and organizational skills.
Strong communication skills both verbal and written.
Ability to handle sensitive information confidentially and with professionalism.
Work Experience Education and Certifications:
HS Diploma or GED required.
2-3 years of experience in healthcare billing insurance claims processing or paymentsmanagement preferably in a hospital or healthcare setting.
Working Conditions and Physical Requirements:
100% Remote
Expected to work from a designated home office or other quiet and secure location free from
distractions.
Access to a suitable workspace that includes reliable internet access.
Ability to sit for long periods while working at a desk or computer.
Regular use of a keyboard mouse and other computer peripherals.
Occasional video conferencing which may involve sitting or standing for meetings.
Required Experience:
Unclear Seniority
Employment Type
Part-Time
