Piedmont Triad Anesthesia is an independent professional association comprised of 29 board certified anesthesiologists, more than 100 certified registered nurse anesthetists, and six physician assistants. Our group of highly trained anesthesiologists and certified registered nurse anesthetists (CRNA) serve over 46,000 patients per year at area hospitals in the Triad.
The Payment Operations Specialist is primarily responsible for posting payments and adjustments to patient accounts. This involves balancing daily, making refund determinations, and analyzing remittances for accuracy, identifying underpaid, unpaid/denied, and overpaid claims, and forwarding for follow-up to seek maximum reimbursement for services rendered. This position also assists with other day-to-day functions of the team. The position works effectively with the Senior Payment Operations Specialist and provides backup support to the Billing Department as needed to ensure that processes are completed timely and accurately.
Key Responsibilities – Overview:
- Payment Application Processes
- Refund Determinations
- Claims and Statements Generation
- Education: High school diploma or GED required. Associate degree or equivalent preferred.
- Experience: Experience of two years in related field desired
Skills, Knowledge, and Abilities:
- Proficient in Microsoft Word, Excel, and Outlook
- Efficient and accurate keying and data entry skills
- Ability to multi-task and work effectively while completing tasks within expected deadlines
- Ability to think analytically to make decisions
- Self-starter who can perform duties independently
- Strong attention to detail and excellent organizational skills
- Ability to resolve problems and draw valid conclusions
- Possess strong communication skills to clearly and effectively communicate both written and verbally with colleagues, providers, and all levels of management
- Ability to practice customer service concepts by communicating clearly and concisely in person and on the phone and establish/maintain cooperative relationships with patients and third-party payers