Payment Application Specialist

Division/Department – MSO

Reports to – Revenue Cycle Manager-Quality Assurance & Payment Integrity

GENERAL JOB DESCRIPTION

Reports directly to the Revenue Cycle Manager and is responsible for accurately posting patient and insurance payments into the Practice Management System. The Payment Application Specialist ensures timely and correct allocation of payments, helps resolve unapplied or misposted transactions, and works closely with both internal teams and external contacts such as insurance companies. Additional responsibilities are outlined below.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

•            Accurately post all patient and insurance payments to the correct accounts.

•            Balance and reconcile daily deposits and batches.

•            Research and resolve unapplied or misapplied payments in a timely manner.

•            Request missing remittance advice from insurance payers and download ERAs.

•            Coordinate receipt and processing of correspondence related to payment posting.

•            Monitor and manage unapplied balances, escalating issues when necessary.

•            Support teammates and assist with training as needed.

•            Promote and adhere to OrthoLoneStar’s mission, core values, and vision.

•            Maintain satisfactory attendance in accordance with policy.

•            Other duties as assigned.