Specialist Payment Job Description
Specialist Payment Duties & Responsibilities
To write an effective specialist payment job description, begin by listing detailed duties, responsibilities and expectations. We have included specialist payment job description templates that you can modify and use.
Sample responsibilities for this position include:
Specialist Payment Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Specialist Payment
List any licenses or certifications required by the position: IRA, FDCPA, CISM, CISA, CISSP, TARGET2, CPC, OS, PCI, ISA
Education for Specialist Payment
Typically a job would require a certain level of education.
Employers hiring for the specialist payment job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Healthcare, Auditing, Accounting, Education, Business, Finance, Associates, Business/Administration, Pharmacy, Economics
Skills for Specialist Payment
Desired skills for specialist payment include:
Desired experience for specialist payment includes:
Specialist Payment Examples
Specialist Payment Job Description
- Help us build upon our foundation of Lending Care and uphold the reputation of best-in-class service
- Continue to learn the business and take ownership of your role and responsibilities
- Researches and resolves complex payroll issues and discrepancies
- Post and/or code non-cash data accurately by selecting the standard code to designate the reason (payment denial, admission approval, refund request, etc)
- Thoroughly research questionable/unidentified payments in order to post properly
- Verify, import and post electronic remittance/denial files for assigned payers, ensuring that funds are in the bank prior to posting
- Correct or facilitate identified discrepancies to appropriate department for resolution
- Assist in development of reporting tools and metrics to identify trends in payment discrepancies and resolution
- Assist business unit management as needed with information requests
- Identify and communicate trends relating to contract interpretation issues and budget discrepancies to leadership
- Experience with autodialing and production metrics, in a matrixed environment
- 1+ years of commissions experience required
- Strong mathematical skills and analytical aptitude
- Collections or Call Center experience a plus
- Customer Service Experience (Preferably over the phone)
- Performs various clerical tasks associated with Payment Operations
Specialist Payment Job Description
- Resolve issues related to for Program Design and Payment Programs
- Provide Subject Matter Expertise (SME) in the development of new capabilities or infrastructure
- Develop business requirements and assess infrastructure capability in alignment with network strategy
- Define design and business requirements for tools and technical capabilities in alignment with for Program Design and Payment Programs
- Develop test scenarios and perform user acceptance testing
- Act as implementation lead for business process improvements related to for Program Design and Payment Programs
- Develop, implement, and monitor, business process improvements
- Analyze a variety of data to determine trends, root causes of issues, provider payment standards, , and provide conclusions and/or recommendations for use in decision making
- Gather and calculate financial payment information from customers, claimants, Disability Case Managers (DCM) and vendors
- Create follow-up tasks for claims requiring ongoing payment adjustments or oversight
- Must be able to manage in an organized, proactive and independent manner to meet all required time frames and commitments
- Extremely detail-oriented with strong organizational and follow-up skills, experienced in handling multiple priorities simultaneously
- Additional post-secondary education in accounting or finance preferred
- Three (3) years job related experience in hospital Business Office or Central Business Office (CBO)
- Working experience with data spreadsheets
- Demonstrates understanding of medical terminology
Specialist Payment Job Description
- Thoroughly understand the department's key performance indicators
- Receives payments via bank lockbox, credit cards, U.S. mail, or internal mail
- Posts payments on Epic to appropriate invoice and group per the explanation of benefits
- Processes credit card payments through electronic data capture system
- Researches unidentified payments and determines if they belong to another Baylor department
- Ensures that all payment batches reconcile to the bank total on an individual basis
- Assists with Electronic Data Interchange posting and reconciling when necessary
- Maintains a working knowledge of commercial insurance and managed care insurance terminology and changes
- Maintains a working knowledge of all financial classes and paycodes and changes to each
- Performs specified duties in absence of supervisor
- Knowledge of CPT, HCPCS, ICD-10 coding procedures
- Strong interpersonal skills and excellent phone etiquette
- Good oral and written communication skills to effectively maintain customer service relations.Ability to work with numbers
- High School degree required, some college or Associates of Arts preferred
- Experienced in handling a wide range of customer interactions including potential to handle difficult customer situations explain complex loan information
- 4+ years experience with provider payment programs, billing practices and program engagement
Specialist Payment Job Description
- Being the main point of contact for the global Client Services team regarding client payments and global banking nuances
- Prepare and process payment referrals for Fully-Insured and Administrative Services Only (ASO) disability claims for multiple customers
- Post approved adjustment transactions to debit/credit account balance (e.g., contractual allowances, refunds, ) to bring account to appropriate balance
- Ensure organizers get paid on time, every time
- Own and provide support for escalated payment issues globally (~180 countries as of 2017)
- Provide instruction and guidance about payment features and processes to existing customers other internal teams
- Partner with Product, Finance, and Sales to identify opportunities to improve policies, processes, or user experience
- Assist in reconciling complex payment calculations for clients or our internal teams
- Partner with engineering to resolve complex bugs including any associated cleanup efforts
- Resolve complex issues related to client payments
- 8+ years of AR and cash application experience with High School Diploma (no college degree)
- Must have knowledge of Accounting Principles and possess the ability to apply them
- 2+ years of AP and cash application experience with Bachelor’s Degree
- 8+ years of AP and cash application experience with High School Diploma (no college degree)
- Strong math/financial skills to verify system-generated benefit calculations
- Promote involvement of others in decision making
Specialist Payment Job Description
- Monitoring industry trends and competitive products to compare and contrast solutions and go to market tactics
- Working with Sales on a proactive basis to forecast adoption of new products within the region
- Monitors various reports and updates the appropriate systems with thorough and concise documentation on current activity and notes on the retailers commitment to pay, refusal to pay
- Identifies Retailers/Clients with multiple claims incidents/error trends and follows up directly to educate the retailer on claims submission guidelines
- Escalate incidents of high priority and issues that cannot be resolved to the proper authority
- Accepts other projects as assigned
- Providing front line payment support to our clients across phone, email, web chat and social media
- Monitoring and proactively managing client payment systems
- Taking ownership of, and proactively managing, client deposits and withdrawals
- Verifying client documentation to ensure that internal AML policies are met
- Ability to understand payer policies, contracts and all applicable billing rules and regulations to facilitate decision making
- Proficient with Microsoft business applications
- Sedentary work requiring good manual dexterity.? Work involves typing, picking, grasping, occasional stooping, kneeling, crouching, lifting up to 10 lbs., reaching and ability to move about to accomplish tasks.? Require repetitive motions of wrists, hands and fingers.? Must have excellent hearing and listening skills to receive detailed information through oral communication (via telephone or in person)
- Employee subject to inside environmental conditions
- Billing experience in a healthcare environment with third
- High school diploma or equivalent with additional training beyond high school preferred