Payment Resolution Specialist

We're not just behavioral health people"”we're crisis people. Connections has built a model that combines medical and recovery-oriented treatment that gets people connected to community-based resources and back to their lives faster.  Our aim is for solutions, not just stop-gaps. Real support, not restriction.  We have proven that our model improves access, creates hope and makes the behavioral health crisis system work better, and we're finding better ways to do it every day. Our story Originally founded by two emergency room psychiatrists, Dr. Chris Carson and Dr. Robert Williamson, Connections Health Solutions brings 30 years of experience serving individuals in crisis and operates two of the nation's largest and most studied crisis response centers and is currently expanding to more states.  Since opening our doors, we have provided care and treatment for hundreds of thousands of individuals in crisis.What You'll Do: The Payment Resolution Specialist contributes to the financial viability of the organization by assuring that payments have been properly posted to patient accounts. Responsibilities include processing and reconciliation of all deposited funds. This position requires discretion and good judgment in decision-making and representation of Connections Healthcare Solutions. Work situations are varied and require extensive payment resolution knowledge, and strong customer service skills. This position provides the link in communication between Connections Healthcare Solutions and the patient, insurance companies/third party payers and the provider of service or departmental staff. The Payment Resolution Specialist performs these functions at a complex level of implementation, analysis, and resolution. Ensure daily download of EFT and SFTP files for upload into the electronic practice management system (EPM) for automatic and manual posting.Coordinates upload of EFT transactions, create electronic batch files, update the spreadsheet, and ensure daily balancing of receipts to EPM posting balances. Create and save files in appropriate monthly folder for future review.Meets productivity requirements as set within the department.Utilize various accounting systems, secured payer sites, and processes to obtain electronic funds data for posting and reconciliation.Completes daily posting reconciliation according to department requirements.Supports outside vendor with naming electronic batches for posting.Uploads images, validates sources, and total deposits from electronic vendors, lockbox, and performs accounting level functions to balance daily.Allocate and prepare batches for daily application and acts as a functional leader or reference source.Troubleshoots open and unbalanced items prior to month end close to ensure resolution.Ensure credit balances are processed for refunds timely in accordance with state and federal guidelines and requirements.Works closely with the accounting, RCM, and outside vendors (Net Smart) to ensure complete account reconciliation prior to month end close.Follows up with payers for missing documentation needed to post electronic or paper payment posting. Maintain records of requests and receipt dates of missing data through notations in clearinghouse (WAYSTAR) and Avatar.Performs all other duties as assigned. What You'll Bring: High School diploma or GED2 years of medical payment posting and reconciliation experience2 years accounting or business office experience (ability to reconcile and balance large payer remittances)1 year of experience working in a remote environment2 years of proficient knowledge of excel and windows applicationsThe Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company's exemption process prior to their start date as a condition of employment It would be great if you had: Bachelor's degree in Accounting or Health Care related field5 years physician practice and accounting/cash management experienceWhat We Offer: Full-time only:Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital IndemnityCHS pays for Basic Life, AD&D, Short and Long-Term DisabilityVoluntary Life insurance option for employees and their familiesHealth Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan)Flexible Spending Accounts (health care and dependent care)401k company match after 6 months (50% of deferrals up to 6% of compensation)Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays All employees (Pool, Part-time and Full-time):Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online supportOnline Subscription to Headspace, a digital mindfulness and meditation platformAfter 90 days, you are auto enrolled in the 401k Plan Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.

Created: 2025-02-15