Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Payment Solutions - Accuracy & Resolution Specialist is responsible for researching and resolving payment and account discrepancies to ensure the accuracy and integrity of patient accounts. This role performs detailed account analysis, payment research, worklist resolution, refund processing, and payment reconciliation activities, collaborating with internal teams, vendors, and payers to resolve complex account issues while maintaining established quality, productivity, and compliance standards. This position requires strong analytical skills, attention to detail, and the ability to navigate multiple systems while supporting the overall goals of the Revenue Cycle department.

Responsibilities

Research and resolve payment discrepancies and account variances to ensure accurate account balances and payment application.
Work assigned Athenahealth worklists, reviewing patient accounts and determining appropriate resolution based on payment, adjustment, and account activity.
Investigate unapplied, misapplied, unidentified, and unallocated payments and take corrective action when appropriate.
Review and process patient and insurance refunds in accordance with departmental policies and regulatory requirements.
Verify deposits and reconcile payment activity utilizing bank portals, payer portals, internal reporting, and supporting systems.
Retrieve remittance information and supporting documentation necessary to complete payment research and account resolution.
Utilize Athenahealth as the primary workflow platform while leveraging additional systems and reporting tools, including Tableau and LK Oasis, to support account analysis and research.
Monitor and respond to departmental communications, including shared mailboxes within established service level expectations.
Identify recurring payment or account issues and communicate trends, workflow barriers, and improvement opportunities to leadership.
Collaborate with internal Revenue Cycle departments, vendors, payers, and other stakeholders to resolve account-related issues.
Support audits, special projects, process improvement initiatives, and cross-functional departmental activities as assigned.
Maintain established productivity, quality, and accuracy standards.
Adhere to HIPAA regulations, company policies, and confidentiality requirements while safeguarding Protected Health Information (PHI).

Requirements

High School Diploma, GED, or equivalent required.
Minimum one (1) year of experience in healthcare revenue cycle, medical billing, payment posting, payment reconciliation, refunds, banking, accounting, collections, or a related field.
Strong analytical and problem-solving skills.
Ability to interpret payment activity, identify discrepancies, and determine appropriate resolution.
Proficiency with Microsoft Office applications, including Excel and Outlook.
Excellent written and verbal communication skills.
Strong organizational skills and attention to detail.
Ability to prioritize workload, manage multiple assignments, and meet deadlines.
Ability to work independently while contributing to a collaborative team environment.
Demonstrated commitment to quality, accuracy, and continuous improvement.

Skills

Patient Account Resolution
Payment Research & Reconciliation
Refund Processing
Worklist Management
Revenue Cycle Operations
Data Analysis
Athenahealth
Microsoft Excel

Experience Level

Minimum one (1) year of experience

Education Level

High School Diploma, GED, or equivalent

Salary/Compensations

$18.99 - $23.37/hr

Benefits

Medical
Dental
Life
Disability
Vision
FSA coverages
401k savings plan

About the Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all.
We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Equal Opportunity

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.