Payment Processing Specialist

<p><strong>Position Summary</strong><br>The Medical Billing Payment Processor is responsible for accurately collecting, processing, and reconciling patient payments prior to and at the time of service. This role serves as a front-line financial representative, ensuring a smooth payment experience while adhering to all healthcare financial compliance standards. The processor handles a variety of payment methods including credit cards, debit cards, checks, and electronic payments, while maintaining the highest level of patient confidentiality.</p> <p><strong>Key Responsibilities</strong></p> <p><strong>Pre-Service Payment Processing:</strong></p> <p>• Collect and process patient payments prior to medical services being rendered, including co-pays, deductibles, and self-pay balances<br>• Review patient accounts and insurance eligibility to calculate estimated patient financial responsibility<br>• Process credit card, debit card, check, and electronic payment transactions accurately and securely<br>• Issue payment receipts and document all transactions in the practice management system<br>• Establish and manage patient payment plans in accordance with organizational policies</p> <p><strong>Billing and Account Management:</strong></p> <p>• Verify insurance coverage, benefits, and authorization requirements prior to service dates<br>• Post payments to patient accounts in a timely and accurate manner<br>• Reconcile daily payment batches and prepare end-of-day financial reports<br>• Identify and resolve payment discrepancies, overpayments, and refund requests<br>• Follow up on outstanding balances and communicate with patients regarding their financial obligations</p> <p><strong>Patient Relations and Communication:</strong></p> <p>• Communicate patient financial responsibilities clearly, professionally, and with empathy<br>• Assist patients in understanding their benefits, billing statements, and payment options<br>• Direct patients to financial assistance programs or charity care resources when applicable<br>• Respond to patient billing inquiries via phone, email, and in person in a timely manner</p> <p><strong>Compliance and Security:</strong></p> <p>• Maintain strict compliance with HIPAA regulations and organizational privacy policies at all times<br>• Follow PCI-DSS standards when handling credit and debit card transactions<br>• Adhere to all state and federal healthcare billing regulations and guidelines<br>• Maintain secure handling of all financial documents and patient information</p> <p><strong>Minimum Qualifications</strong><br>• High school diploma or GE