Lead Payment Application Specialist

RAYUS now offers DailyPay! Wok today, get paid today!

The pay range for this position is $20.70 - $29.93 based on direct and relevant experience.

RAYUS Radiology is looking for a Lead Payment Application Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together. As a Lead Payment Application Specialist you will be responsible for the posting, processing and balancing activities related to third party remittances and all forms of payments received from patients. This role will also post refunds, and work with third-party payors to resolve payment issues, as well as act as a leader to other team members. This is a 100% remote full-time position working Monday thru Friday; 40 hours per week; business hours.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(60%) Payment Applications & Support

1. Collaborate with the Payment Applications Supervisor to prioritize receipt and correspondence posting for the team
2. Collaborate with multiple departments to ensure resolution of issues and tasks are completed
3. Collaborates with the Payment Applications and Reconciliation Coordinator on receipt balancing challenges
4. Provide support to staff on accounts for month-end reconciliation, QA, documentation and training new as well as existing team members.
5. Manages the reconciling log which tracks unposted receipts
6. Review and investigate payment application issues, including misapplication of payments, discrepancies between check and payment application amounts, and incorrect splitting of payments. Identify errors and make process adjustments to prevent future problems, this includes making calls to payers as needed.
7. Identify trends in payment posting and/or payment errors and communicate findings to management.
8. Maintain knowledge of insurance payments and rejection/denial processing; communicate with team to ensure all are aware of any new processing practices.
9. Verify complete, accurate, and timely account notation and documentation in the Revenue Cycle information system, including adjudication and denial processing.
10. Ensure team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate; assist management with the coordination of daily Payment Application operations.
11. Strive for positive patient experience.
12. Complete and/or attend mandatory training and education sessions within approved organizational guidelines and timeframes.
13. Provide end-of-month support through collaboration with the payment application team, ensuring receipt batches balance and tie to corresponding bank deposits and to research and resolve any receipt balancing challenges

(30%) Payment Applications Information Systems

1. Maintain a clear understanding and working knowledge of all information systems required for job scope in order to best be equipped to consistently recognize and troubleshoot problems; assist other team members as necessary.

2. Develop super user capabilities in NextGen applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department.

(10%) Other Duties as Assigned

Required:

1. High school diploma, or equivalent
2. Three (3) years' experience in related and applicable healthcare Revenue Cycle experience, with a focus in Payment Applications.
3. Three (3) years' experience using 10 Key to accurately enter numeric data
4. Advanced computer skills
5. Advanced working knowledge of Microsoft Office Suite; Outlook, Word, Excel, Teams etc.

Preferred:

1. Associate's degree in a related and applicable field

2. Five (5) years' experience in related and applicable healthcare Revenue Cycle experience, with a focus in Payment Applications.

3. Prior experience using NextGen

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.