Payment Application Specialist

Location: Remote

ESSENTIAL JOB FUNCTIONS:

• Proactively collaborate with the Athena team to identify, investigate, and resolve duplicate or misrouted payment items via CRM, ensuring accurate and efficient payment processing.
• Assist in balancing and reviewing third-party collection vendor accounts to support financial reconciliation and reporting accuracy.
• Communicate effectively with payers through phone and other channels to research and obtain missing or omitted information required for payment posting.
• Identify and facilitate opportunities to transition One Time Use credit card payers to more secure and efficient EFT/ACH payment methods using the BSG ticket process, improving payment speed and security.
• Review, upload, and accurately post paper remittances and Electronic Remittance Advice (ERA) files from Payor Web Portals into Athena, ensuring timely and accurate account updates.
• Monitor, document, and escalate emerging trends, recurring issues, or unusual payment posting challenges to support continuous process improvement.
• Accurately apply incoming unpostable and correspondence records to the correct patient accounts and claims, minimizing errors and delays in revenue recognition.
• Perform additional departmental duties as assigned, demonstrating flexibility and strong commitment to team objectives.
• Consistently meet or exceed production and quality targets set by management, contributing to overall departmental performance and success.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Proficiency with Windows-based PC hardware and software, especially spreadsheet applications for data analysis and reporting.
• Strong problem-solving skills to independently identify, research, and resolve complex discrepancies, communicating results clearly to management.
• Excellent interpersonal and communication abilities for professional interaction with employees, management, and external stakeholders.
• Strict commitment to maintaining confidentiality of sensitive patient and financial information.
• Highly organized with the ability to prioritize and manage multiple tasks effectively in a fast-paced environment.
• Willingness to work overtime and contribute extra effort during peak periods or special projects.
• Exceptional attention to detail to ensure accuracy in all tasks.

EDUCATION AND EXPERIENCE:

• High School Diploma or equivalent required; additional education or certifications in finance, accounting, or healthcare administration preferred.
• Experience with Health Insurance Websites/Portals required.
• Experience with Financial Records to resolve missing payments required.
• Proficient in review of Explanation of Benefits and Posting required.
• Prior experience in payment processing, revenue cycle management, or related financial operations preferred.
• Experience in communicating with Payers to research and obtain missing or omitted information required.

PHYSICAL DEMANDS:

• Regularly required to sit for extended periods while performing job duties; occasional walking, standing, bending, stooping, and lifting of objects up to 15 pounds may be necessary.
• Must possess close visual acuity to perform detailed work accurately.

Hourly Rate: $16.33-$30.21