*CBO Payment Applications Specialist/Full Time/Hybrid
🔍 Troy, Michigan
GENERAL SUMMARY:
The Payment Applications Specialist is responsible for accurately posting payments received from patients and third-party payers to healthcare accounts receivables across a multi-facility integrated healthcare delivery system. This includes managing billing associated with Henry Ford Health System hospitals, outpatient clinics, and employed physicians.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Post and balance patient payments received through various methods such as check, EFT, and credit card.
2. Post and balance payments received from third-party payers, applying related contractual adjustments and determining patient responsibility.
3. Post and balance payments received from collection agencies via electronic payment files.
4. Utilize automation processes to balance and post EFTs.
5. Balance and reconcile 835 Remittance files following proper work queue procedures to address remittance file errors and PLBs.
6. Resolve aged deposits to ensure proper application of payments or return of funds to the appropriate party.
7. Understand and apply HFH third-party insurance contract terms to appropriately apply contractual adjustments.
8. Analyze payer denial reasons to appropriately determine insurance responses based on adjudication using standard ANSI remittance codes.
9. Retrieve remittance files from payer websites and upload to document retention software.
10.Research and process misapplied or missing payments following proper work queue procedures.
11.Review and analyze unposted 835 remittance file activity and make recommendations on proper resolution.
12.Process refunds resulting from payments received in error.
13.Handle credit card chargebacks and items returned for nonsufficient funds.
14.Meet established quality and productivity expectations.
15.Identify and report any potential issues to leadership.
16.Adhere to legal and ethical standards as set forth in the HFH Code of Conduct.
17.Perform other related duties as assigned
EDUCATION/EXPERIENCE REQUIRED:
- High school diploma or equivalent required.
- One year of experience in finance, accounting, or healthcare revenue cycle related position preferred.
- Experience with general ledgers or other accounting functions preferred.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.