Application Specialist

Payment Application Specialist – Memorial Health (Springfield, IL)

Responsible for the timely and accurate posting of payments and adjustments into the hospital proprietary billing system. The role processes 835 ERA, ACH, EFT transactions, USPS mail, inter‑office mail, balances daily batches, assists with daily reconciliation, initiates and monitors automated posting programs, and prepares documentation for reconciliation and auditing. The position embodies Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency.

Salary: $16.50 /hr – $24.82 /hr.

High‑school graduate or GED required; associate degree preferred.

• Two (2) years of experience in billing, insurance, collections, or a related background.
• Experience with the insurance and contractual allowance aspects of commercial and managed‑care contracts.
• Ability to read and interpret ERAs (Electronic Remittance Advice), ACHs, EFTs, and EOB/EOPs.
• Typing speed of net 30 WPM (alphanumeric) and net 6000 KPH (numeric).
• Basic PC skills; proficiency with Microsoft Word and Excel preferred.
• Excellent oral and written communication, keyboarding, and basic math skills.
• Experience resolving complex payment issues and preparing reconciliation documentation.
• Knowledge of HIPAA privacy regulations and patient confidentiality.

• Access web‑based portals and download ERA, ACH, and report files from payors.
• Prepare files, initiate and monitor posting software applications, ensuring adherence to guidelines, timeliness, and accuracy.
• Investigate and resolve incomplete or questionable payments.
• Calculate contractual adjustments and apply them to patient accounts.
• Embodies performance excellence standards: safety, courtesy, quality, efficiency.
• Sort, stamp, and process incoming mail, third‑party, and patient payments.
• Analyze EOB forms to determine denial, exclusion, or under‑payment reasons.
• Follow up on outstanding or unapplied payments and report trends to management.
• Research and resolve complex payment issues, identify write‑offs, and secure approvals from management.
• Document online system entries and maintain accurate records.
• Prepare daily bank deposits and coordinate delivery or pick‑up with the Security Department.
• Provide input for system edits to improve payment processing consistency and compliance.
• Communicate and resolve payment issues with various internal sources.
• Initiate corrections to charges and allowances within scope of authority.
• Adhere to HIPAA privacy regulations and maintain patient confidentiality.
• Maintain files and arrange long‑term storage of EOBs or other items when necessary.
• Cross‑train and serve as a backup for other unit duties, especially during special needs or staff absences.
• Perform other related duties as required or requested.

Entry level

Full‑time

Information Technology

Hospitals and Health Care