Revenue Cycle Payment Specialist

High Point University’s Business Office is seeking a Revenue Cycle Payment Specialist that is responsible for reviewing and posting all electronic and manual payments from insurance carriers and patients. The candidate will ensure accurate payment posting, adjudications, denials, and refunds, and interpret EOBs and ERAs. The ideal candidate will possess excellent communication skills, attention to detail, and the ability to handle sensitive information confidentially.

QUALIFICATIONS

Education:

• High school diploma or equivalent; associate's degree or relevant certification preferred.

Experience and Training:

• Proven experience in insurance administration, healthcare, or a related field is advantageous.

Knowledge, Skills, Ability:

• Dental /Medical billing knowledge along with the ability to communicate with insurance companies, healthcare providers, and clients to gather and verify necessary information in order to complete payment processing.
• Excellent numerical accuracy and high attention to detail.
• Ability to work independently with minimal supervision.
• A solid understanding of the full revenue cycle process is essential.

ESSENTIAL FUNCTIONS

• Reviews and posts electronic and manual payments from insurance carriers and patients.
• Post adjustments, denials, and refunds in accordance with payer guidelines and internal policies
• Accurately interpret EOBs and ERAs, identifying variances and escalating underpayments of rejections
• Maintains zero backlogs and meets daily/weekly productivity targets
• Communicates with internal billing teams regarding payment trends, anomalies, and payer behavior
• Ensures compliance with HIPAA and other federal and state regulations
• Maintains up-to-date knowledge of payer policies, medical/dental billing terminology, and payment posting best practices

ACCOUNTABILITY

• Manager of Clinical Revenue Operations Cycle
• Evaluation: Performance is evaluated based on the insurance payments entered daily to ensure operational efficiency and financial performance across clinical practices

For more information about his position, please contact Brian Shollenberger, Assistant VP for Accounting at bshollen@highpoint.edu