Payment Analyst

The Payment Analyst is responsible for daily posting of payments for Professional and Retail pharmacy claims, posting of zero pay denials, allocating copays to patient balances, running reports, submitting refund and transfer requests, submitting transfers to NSH, processing refund checks, daily balancing, and reconciling to ensure accurate balances reflect in patient accounts.

Role and Responsibilities

• Posts Medical and Retail Pharmacy Insurance payments and Patient payments daily
• Allocation of copays and prepares the deposit bags for NSH Accounting
• Corrects, conducts reversals if needed and applies patient and insurance payments including all bill types and corresponding contractual adjustments to patient accounts.
• Lists unidentified payments to correct lockbox, documenting transactions to maintain adequate audit trail and posts received amounts to lockbox spreadsheet obtained from Wells Fargo
• Resolves misdirected payments and submits refund requests to return incorrect payments to sender.
• Copies any zero payments (denials) to appropriate Patient Account Representative for follow-up and posts appropriately to systems.
• Submits live checks to Wells Fargo bank institution
• Corrects and posts debit/credit adjustments of misapplied payments to ensure accurate and timely reporting of accounts.
• Prepares and processes patient and insurance refunds
• Prepares and processes transfers to NSH billing system (STAR)
• Brings system related issues immediately to management’s attention.
• Brings possible process improvement to management’s attention to discuss/review
• Participates in recommended online educational classes through ADP
• Maintains strictest confidentiality.
• Other duties as assigned
• COVID19 adjustments may be required – (change to hours, location, responsibilities)
• Adhere to the Standards of Excellence

High School Diploma or equivalent education and a minimum of two (2) years related experience in

Payment Posting in a Specialists physician’s office is required.

Preferred Skills

Knowledge of medical terminology. Excellent oral and written communication skills. Good interpersonal skills and team oriented. Ability to multi-task and work effectively in teams

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