Payment Recon Specialist

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide.
 

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships.

The Payment Reconciliation Team Lead is responsible for deposit and remittance capture, payment posting and reconciliation processes. The individual in this position also assists with the management of correspondence as well as credit balance and refund processing. The Payment Reconciliation Team Lead contributes directly and indirectly to the Healogics Key Results of Grow the Business and Exceptional Patient Experience.

All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential Functions/Responsibilities:  

• Provides guidance to and coordinates the activities of outsourced labor
• Trains internal and external staff on use of Practice Management Systems
• Maintains access to insurance payer, facility, and other web portals in accordance with the company's information security policy and procedure
• Captures lockbox, Electronic Fund Transfer (EFT), credit card and other deposits for posting of remittances
• Reconciles deposit variances with CBO Leadership and guides outsourced labor as needed.
• Communicates with leadership regarding additional set up or changes to set up for billing systems to improve ease of payment posting and reduce need for manual corrections.
• Manages electronic and paper remittance capture, posting and balancing of payments to deposits.
• Serves as CBO point of contact for lock-box management and banking services; facilitates changes to pay-to-address and EFT change management
• Monitors Electronic Remittance Advice (ERA) usage and seeks conversion of paper remittances to ERA where possible and delegates tasks to other Recon specialists as needed.
• Assists with Electronic Data Interchange (EDI) setup and enrollment for ERAs and other clearinghouse services, and provides directions to other reconciliation specialists, as needed.
• Implements processes to maintain Unpostable/unapplied payments to expected levels
• Organizes and distributes all payment information received via fax, email, scan, or mail to appropriate parties
• Coordinates and provides oversight to offshore partner(s) responsible for supporting deposit and payments processing
• Performs other duties as required

Required Education, Experience and Credentials:

• High School Diploma required

• Minimum of five (5) years of experience in a medical setting, required
• Preferred two (2) year experience as a supervisor or lead; or
• Equivalent combination of education and relevant experience
• Extensive knowledge of revenue cycle workflow, accounts receivable management, claims processing, insurance, medical
• terminology, and practice management billing applications

Required Knowledge, Skills and Abilities:

• Proficient in Microsoft Suite (Excel, Word, Outlook)

• Keen attention to detail with the ability to work independently and maintain confidentiality

• Ability to collaborate and demonstrate leadership skills in a team environment

• Strong interpersonal, written and verbal communication skills with a focus on customer service

• Organization, prioritization and time management skills

• Critical and strategic thinking to include analytical, quantitative, and problem-solving skills

• Negotiation skills

• Demonstrated ability to exhibit integrity and commitment to professional ethics

• Long-term planning skills

This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law. 

If you are a current employee, to submit a job application, you need to apply as an internal candidate in Workday via the “Jobs Hub”.