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GENERAL SUMMARY:

The Payment Applications Specialist is responsible for accurately posting payments received from patients and third-party payers to healthcare accounts receivables across a multi-facility integrated healthcare delivery system. This includes managing billing associated with Henry Ford Health System hospitals, outpatient clinics, and employed physicians.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

1. Post and balance patient payments received through various methods such as check, EFT, and credit card.

2. Post and balance payments received from third-party payers, applying related contractual adjustments and determining patient responsibility.

3. Post and balance payments received from collection agencies via electronic payment files.

4. Utilize automation processes to balance and post EFTs.

5. Balance and reconcile 835 Remittance files following proper work queue procedures to address remittance file errors and PLBs.

6. Resolve aged deposits to ensure proper application of payments or return of funds to the appropriate party.

7. Understand and apply HFH third-party insurance contract terms to appropriately apply contractual adjustments.

8. Analyze payer denial reasons to appropriately determine insurance responses based on adjudication using standard ANSI remittance codes.

9. Retrieve remittance files from payer websites and upload to document retention software.

10.Research and process misapplied or missing payments following proper work queue procedures.

11.Review and analyze unposted 835 remittance file activity and make recommendations on proper resolution.

12.Process refunds resulting from payments received in error.

13.Handle credit card chargebacks and items returned for nonsufficient funds.

14.Meet established quality and productivity expectations.

15.Identify and report any potential issues to leadership.

16.Adhere to legal and ethical standards as set forth in the HFH Code of Conduct.

17.Perform other related duties as assigned

EDUCATION/EXPERIENCE REQUIRED:

+ High school diploma or equivalent required.

+ One year of experience in finance, accounting, or healthcare revenue cycle related position preferred.

+ Experience with general ledgers or other accounting functions preferred.

Additional Information

+ Organization: Corporate Services

+ Department: CBO - Payment Application

+ Shift: Day Job

+ Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.