Payment Specialist

Classification: Non-Exempt, Full-time

Reports To: Revenue Cycle Manager

Supervises Others: No

Essential Role: This position performs critical financial analysis of patient accounts, records and posts cash and credit payments for clinic patients, reconciles daily cash, verifies insurance coverage and determines eligibility for the Sliding Fee Discount program.

Duties & Responsibilities:

• Interacts with patients regarding financial status of account, including understanding of patient account history.
• Verifies patient insurance coverage
• Determine and collect deposit payments, insurance co-pay, lab, clinic charges, and bad debt payments as appropriate from patients.
• Processes cash and credit/debit cards payments received and posts payments to appropriate charges.
• Process same day refunds and refunds to credit card as approved by CFO.
• Reconciles all cash, checks and credits card charges daily.
• Prepares daily deposit transmittal.
• Determines eligibility for Sliding Fee Discount and processes appropriate documentation to support eligibility.
• Documents patient account information in computer system.
• Interfaces with corporate finance/billing or financial consultants as requested.
• Maintains patient and corporate confidentiality at all times.
• Performs other appropriate duties as requested by supervisors.

Qualifications: Education/Certifications/Licenses/Registrations

• High school diploma or equivalent
• Some college preferred
• Requires Wonderlic assessment with a score of at least 16. (Assessment to be scheduled after satisfactory interview.)

Experience

• Previous handling and reconciliation of cash.
• Customer service, multi-line telephone, and computer experience.
• Previous administrative, and/or medical office experience preferred.
• Previous experience with medical and dental insurance preferred.

Technical Skills

• Must possess a thorough knowledge of modern office practices, procedures, and equipment, including computers, copiers, and other standard office equipment.
• Ability to work independently, organize, monitor, and adjust work as necessary to ensure accuracy and timeliness.
• Demonstrate ability to identify and solve problems.
• Excellent organizational skills and commitment to accuracy.
• Understands ethics of confidentiality.
• Bilingual Spanish preferred.
• Must possess high level of skill and accuracy in entering data into computer while talking to patients in person and by phone.

Behavioral

• Ability to strongly embrace and personify the mission and values of GraceMed with socio-economic and cultural sensitivity in mind.
• Must display good verbal and written communication skills, and be able to professionally receive and follow oral instructions.
• Honest, courteous and professional at all times.
• Learns new concepts and procedures quickly.
• Able to provide innovative input into the development of the office environment and its processes.

Work Schedule: Normal schedule is Monday through Friday 7:45am to 5:00pm., schedule may vary.

Working Conditions: Administrative office environment. Ability to sit for long periods of time. Bending, stooping, and lifting (up to 50lbs.) may be required. Ability to read computer screens for extended periods of time. Interaction with physicians, patients and other office personnel. Must have visual acuity and manual dexterity to interface with computer. Must have auditory acuity to handle phone calls.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

This job description has been examined for compliance with the Americans with Disabilities Act (ADA) and the Fair Labor Standards Act (FLSA) (May 1995).