Medical Billing & Collections Specialist

Job Description Summary

The Payment Support Specialist is responsible for providing effective and accurate resolution of complex posting issues as identified through the Practice Management System (PMS). They are responsible for the in-depth research, validation of over payments and unapplied funds and processing of both patient and carrier requested refunds as appropriate. The Payment Support Specialist must research, troubleshoot, and ensure the accuracy of posted payments and rejections and provide relevant trending to the management team.

S/he responds to requests for additional information needed by the carrier in order to make a determination of payment. Opens and balances daily payment batches when applicable, prepares daily reports and submits to appropriate areas. The Payment Support Specialist is responsible to communicate posting errors identified with the PM system and complete dashboard assignments. S/he is responsible to process all incoming and outbound mail as well as complete assignments related to electronic deposits and refund processes.

All other duties as assigned.

• Daily mail sort
• Manual posting and batch reconciliation as needed.
• Processing of electronic deposits
• Preparation of BYOLB packet to Practice Management Company
• Preparation of daily reconciliation forms and communications for Finance Department
• Process assigned work in the PM Dashboard including Unpostable and Correspondence dashboards, Overpaid and Unapplied worklists and any associated refunds. Carrier over payments to be processed in accordance with CMS required timelines.
• Timely follow up on outstanding research requests to payors, PM system cases etc.)
• Process refund checks
• Process collection agency payments as needed.
• Process correspondence and complete appropriate workflows relating to Bankruptcy notifications and Probate.