Who is BRIDGE?
BRIDGE Healthcare Partners is a not-for-profit organization founded in 2011. We are a mission-based managed service organization for not-for-profit organizations in the healthcare, community wellness, and childcare services arena. We provide a framework of services including:
1. Information Technology (IT)
2. Revenue Cycle Management (RCM)
3. Electronic Health Records (EHR)
The most concise way to describe BRIDGE's services is for you to imagine a physician's office, community wellness, childcare center, or clinic. BRIDGE can perform the IT, billing, and electronic medical record functions of a group of physician's offices, clinics, wellness organizations, or childcare centers so they can focus on providing exceptional service. Although much of our client base is in the healthcare sector, we also have clients in higher education and community-based non-profits.
The Role
The Payment Application Specialist accurately processes payments and maintains reconciliation processes in the CBO. In this role, you will manually and electronically post a high volume of patient and insurance payments and adjustments. The Payment Application Specialist is responsible for ensuring all payments received are posted for month-end processes.
As an employee of BRIDGE Healthcare Partners, you should strive to maximize your performance and contribution to BRIDGE Healthcare Partners and the clients we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.
This position is an advocate of the overall culture, vision, and values of BRIDGE. This position reports to the Manager of CBO.
THIS POSITION IS IDEAL FOR SOMEONE WHO IS:
1. Autonomous/Independent - ability to work efficiently and acquire knowledge necessary for positive outcomes with little assistance
2. Dependable - more reliable than spontaneous
3. Advocacy - thrives on being an advocate for our client(s) by bringing continuous improvement to our team for operational, clinical, and financial process improvements and drives the resolution of issues
4. People-oriented - enjoys interacting and collaborating with diverse positions internally and externally by bringing together all perspectives to arrive at the best solution
5. Customer Service Success Driven - possesses the ability to build consultative client relationships, excels at working with internal cross-functional partners, and thrives in a dynamic, team-focused environment delivering against tight deadlines.
PRIMARY RESPONSIBILITIES INCLUDE BUT NOT LIMITED TO:
1. Follows organization policies and procedures
2. Provides superior customer support to our clients and their customers by responding to questions and requests; effectively escalates issues as required
3. Cross trained to provide department coverage
4. Effectively trains team members
5. Successfully navigates multiple vendors including but not limited to payer websites and clearinghouse(s)
6. Produces and maintains department policies, procedures, documentation, and training materials for role-specific activities
7. Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team
8. Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner
9. Routinely collaborates with department managers to correct problems and improve services; informs manager of identified issues or trends
10. Provides administrative support to business operations by performing processing tasks such as data entry, scanning, mail sorting, or similar activities
11. Performs timely and accurate importing, applying, processing, and posting ERAs and manual payment posting to practice management system to meet team goals and objectives
12. Posts live checks, online credit card payments, and EFT deposits
13. Records batch total with date and initials on payment receipt spreadsheet
14. Balances batches and runs transaction reports
15. Verifies all EFT deposits, scanned checks, and zero payments have been posted by month-end
16. Assists with EFT/ERA enrollment for payers
17. Reconciles all payments received daily, weekly, and monthly
18. Manages inbound and outbound calls for multiple clients; this may include handling different topics and being a contact between patients and clients
19. Meets specified department performance requirements
20. Resolves support tickets submitted by clients and assigned to department according to metrics assigned
21. Manages time and multi-tasks appropriately to meet expectations of management and peers; remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner
22. Remote employee is responsible to keep work area quiet and organized during scheduled working hours
23. Other responsibilities as assigned
24. Minimum travel may be required
MINIMUM QUALIFICATIONS, SKILLS, AND ABILITIES:
1. High School Diploma or equivalency required
2. Prior NextGen and/or Epic experience preferred
3. Ability to work flexible hours to meet client(s) month-end and fiscal year-end
4. 1+ years’ experience in healthcare (professional) billing, health insurance, or equivalent operations work environment
5. Previous medical insurance payment posting experience required
6. General accounting skills a plus
7. Adhere to all HIPAA guidelines
8. Excellent communication and problem-solving skills
9. Ability to read and understand an EOB
10. Ability to manage multiple tasks/projects simultaneously and adapt to frequent priority changes
11. Ability to work both collaboratively and independently
12. Capacity to identify and implement improvement opportunities where enhanced processes, technology, or efficiencies can be applied
13. Proficient technical skills and customer satisfaction skills, including ability to troubleshoot products, use MS Office applications and webinar software
PHYSICAL REQUIREMENTS:
1. Remaining in a stationary position, often standing, or sitting for prolonged periods
2. Adjusting or moving objects up to 20 pounds in all directions
3. Communicating with others to exchange information
4. Repeating motions that may include the wrists, hands, and/or fingers
5. Assessing the accuracy, neatness, and thoroughness of the work assigned
Equal Opportunity Employer
BRIDGE Healthcare Partners is proud to be an equal opportunity employer and we are committed to maintaining a diverse and inclusive environment. All qualified applicants will receive consideration for employment without regard to race, color, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), gender identity, gender expression, age, status of protected veteran, status as an individual with a disability, religion, sexual orientation, national origin, genetic information, or any other protected characteristics as outlined by federal, state, or local laws. #J-18808-Ljbffr