Most of our positions, including the one below, are Fully Remote. Due to the nature of our business, you will need to have your own computer and show proof that you have at least 20mb internet speed and be able to run an Ethernet cable.
At PBS, employees take pride in the work we do, the people we work with, and our culture of transparency. As we continue to grow, we are looking for like-minded people to join our team. If you are looking for a job that will enable you to have flexibility, work with smart adults, the ability to work remote, and a good benefits package, then maybe we are for you.
Only applicants who have completed the required assessment tests through Indeed will be considered.
The Senior Payments Specialist is responsible for training payment team members including offshore teams, answering clarification spreadsheet questions, audits, and monitoring reports daily including Quick Check to ensure payment posting numbers align with established goals and reporting any deficiencies to their direct supervisor or manager.
Reports to Payments Supervisor.
Essential Functions/ Primary Job Duties
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential job functions are the fundamental duties of a position: the things a person holding the job absolutely must be able to do. Essential job functions are used to determine the rights of an employee with a disability under the Americans with Disabilities Act (ADA).
Monitors work inventory for offshore vendor volume and alerts management of any backlog.
Reviews daily reporting for clients to ensure performance is meeting goals - % of posting to deposits, deposits as % of goal, month end close timing.
Balances Deposit Payment Logs Daily for assigned clients.
Ensures all payments are posted or appropriately distributed for assigned clients.
Trains department staff including onshore staff, offshore vendors and clients as needed.
Provides first level assistance to department staff including onshore staff, offshore vendors, and clients, which involves professional communication using Microsoft Teams, Microsoft Outlook, or phone communication.
Responds to offshore vendor clarifications in established period.
Audits performance and accuracy of onshore and offshore payment posters and reports performance metrics regularly as assigned.
Interpret remittance advice/EOBs to apply patient and insurance payments and adjustments to patient or invoice accounts.
Analyzes patient accounts and corrects errors, as necessary.
Sets up patient and insurance refunds, awaiting refund requests.
Balances daily payment batches against the billing system.
Reviews month end posting reports for accuracy.
Performs Month End Closing tasks as assigned.
Requests dead tables and ME reports as needed.
Monitors and assists with patient requests (patient escalations/ARR tickets) assigned to payments.
Reviews paper check/paper EOBs received and makes recommendations for ERA/EFT enrollment to payment supervisor. Supports enrollment efforts as assigned.
Monitors ERS and EOB open batches older than 30 days and escalates those to their supervisor.
Assists with department audits as requested by management.
Performs other tasks as assigned.
Competencies
Strong knowledge of the payment posting process within the revenue cycle.
The ability to review and understand percentage calculations, dashboards and analytic reports is key to this role.
Motivation and initiative to solve problems independently.
Decision Making/Critical Thinking to identify issues, seek advice, and escalate appropriately.
Interpersonal Skills that support working with internal and external teams in a positive manner.
Strong attention to detail.
Ability to work with others in a business environment, communicating effectively and professionally, both orally and in writing, in English.
Supervisory Responsibility
This role has NO supervisory responsibilities.
Work Environment
This job works in a home office environment using the standard office equipment of a computer and phone. Employees are required to show proof of home or renters' insurance when working remotely.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
This is a sedentary role, sitting and/or standing at a computer for seven (7) plus hours a day.
Position Type and Expected Hours of Work
Days and typical hours of work are Monday through Friday. The head office, located in Reno NV, is open between 6:30 a.m. to 4:45 p.m. (PST)
Some flexibility in hours is allowed; however, all employees must be available during the “core” work hours set by the company. Schedules are set by the employee's supervisor.
Full-time employees must work 40 hours each week. Part-time employees must work at least 20 hours per week and no more than 29 hours per week.
Travel
No travel is expected for this position.
Required Education and Experience
High school education or equivalent
Minimum 3 years revenue cycle experience, including Payment Posting experience with a keen understanding of the payment posting process.
Excel proficiency, including calculating, filtering, sorting, and creating spreadsheets.
Computer software programs experience in Imagine and Microsoft 365 for Business
Ability to type and calculate accurately.
Job Type: Full-time
Pay: $20.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work setting:
Application Question(s):
- What medical billing software do you have experience with?
Education:
- High school or equivalent (Preferred)
Experience:
- Revenue Cycle: 3 years (Required)
- Payment Posting: 3 years (Required)
Language:
Work Location: Remote