Healthcare Payment Specialist

A-Line Staffing is seeking a motivated and detail-oriented Healthcare Accounts Receivable. This role offers career growth, a supportive work environment, and full-time hours (40+ per week).

Location:

Phoenix, AZ or Nashville, TN
- Hybrid - 3 days onsite and 2 days remote (after first month) 2 locations available.

Payrate: $24/hr

Required Availability:
Full-Time | Monday
- Friday, 8 hours per day, starting around 7:00-8:00 AM

The Healthcare Accounts Receivable will focus on accurate healthcare payment posting, payment reconciliation, denial resolution, and researching complex payment discrepancies across multiple payers and patient accounts. This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs.

Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

• Process manual and electronic healthcare payments with a high degree of accuracy.
• Interpret and analyze EOBs, EFTs, ERAs, COB information, and 835 files.
• Apply payments accurately across multiple dates of service, payers, and patient accounts.
• Break down and allocate lump-sum payments across multiple accounts.
• Research payment variances and resolve unapplied payments and discrepancies.
• Resolve complex denials and payment reconciliation issues.
• Apply knowledge of payer rules, contractual adjustments, proration, and secondary/tertiary payment requirements.
• Collaborate with billing, collections, and payer teams to resolve payment issues.
• Use EMR/payment posting systems, clearinghouses, payer portals, and lockbox files.
• Maintain accurate records and support data integrity.
• Follow established SOPs and identify opportunities to improve workflows.
• Meet productivity and accuracy expectations in a fast-paced, high-volume environment.

• Education:
  
  High School Diploma or GED (verifiable)
• Attendance:
  Commitment to mandatory attendance during the first 90 days.
• 3-5 years of experience in healthcare payment posting.
• Experience in rehabilitation, home health, or residential healthcare settings.
• Exposure to payer audits and recoupments.
• Strong understanding of EOBs, EFTs, ERAs, COB, and 835 file interpretation.
• Knowledge of Medicare, Medicaid, Commercial, and Workers' Compensation payer rules.
• Experience with contractual adjustments, proration logic, and secondary/tertiary payments.
• Experience resolving complex denials and reconciling unapplied payments.
• Knowledge of healthcare revenue cycle and payment reconciliation principles.
• Proficiency with Microsoft Excel and data reconciliation tools.
• Experience with EMR/payment posting systems, clearinghouses, payer portals, and/or lockbox files.
• Strong mathematical, analytical, and problem-solving skills.
• Excellent attention to detail and accuracy.
• Ability to work independently while collaborating effectively with cross-functional teams.
• Preferred Qualifications Basic understanding of contract modeling or reimbursement analytics.
• Experience with Interactant (HCS), Well Sky, or similar payment posting system.

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