Payment Specialist

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

• Receives payments from third-party payor lockbox and mail correspondence, posting payments to patient claims in the patient accounting system.
• Reviews electronic remittances, resolves electronic posting exceptions and variances, and posts payments to corresponding patient claims.
• Interprets Explanation of Benefits (EOBs) and transfers remaining patient and secondary insurance liability to the appropriate payor or next responsible party.
• Distinguishes unidentified payments and posts payments to designated unidentified cash accounts.
• Posts and processes all zero-balance EOBs daily.
• Contacts payors when additional information is necessary to address a payment posting issue.
• Develops and maintains productive team-oriented relationships through individual contacts and group meetings.
• Achieves superior customer satisfaction by embracing and exemplifying the AdventHealth service standards.
• Other duties as assigned.

• Proficient in MS Office Suite (Outlook, Excel, Word) [Required]
• Ability to problem solve [Required]
• Professional and effective in communication skills [Required]
• Demonstrate a strong attention to detail and thoroughness [Required]
• Effectively utilize available and relevant technical tools and resources (e.g. Microsoft Excel and other relevant software) [Required]
• Strong data entry skills [Required]
• Familiarity with insurance plans and EOBs [Required]
• Medical terminology, knowledge of insurance and reimbursement procedures [Required]
• Basic understanding of Epic patient accounting system [Required]
• Understanding of complexity around line level payment posting for physician posting [Preferred]
• Knowledge of HCFA 1500 and UB04 [Preferred]

• High School Grad or Equiv [Required]

• 1+ in posting insurance and patient payments, cash applications, cash posting for physician, home health and hospital services, including posting check and credit card payments, Electronic Fund Transfer (EFT), Automated Clearing House (ACH) and lock box payments [Required]
• 1+ in reconciliation of payments to physician claims and hospital services [Required]
• 1+ in reconciling cash [Required]

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.