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Payment Application Specialist
WVU MedicinePayment Application Specialist responsible for posting insurance and patient payments at West Virginia University Health System. Ensuring timely and accurate financial processes and resolving payment discrepancies.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing and reconciling patient payments, utilizing Epic and Microsoft Excel for accurate financial management. Maintains knowledge of medical billing practices, third-party payers, and relevant coding processes to ensure compliance and efficiency.
Highest-signal resume keywords
Epic System ProficiencyMedical Billing ExperienceCash Balancing SkillsKnowledge of ICD-10 and CPT CodingExcellent Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment PostingTransaction ReconciliationBank Deposit BalancingElectronic Remittance ProcessingAccounts Receivable Management
Soft Skills
Problem-SolvingAttention to DetailOrganizational Skills
Tools & Technologies
Microsoft ExcelOne Content Imaging SystemOnline Credit Card Systems
Industry Keywords
Medical TerminologyThird Party PayersBusiness MathRevenue Cycle ManagementInsurance Overpayments
About the role
Key responsibilities & impact- Responsible for posting insurance and/or patient payments to Epic and balancing those postings to the bank deposits in a timely and accurate manner
- Assists Departmental Coordinator in researching and resolving outstanding deposits and unidentified or missing payments
- Processes electronic remittances initiating transaction posting in Epic
- Works transactions that do not post correctly to ensure that transactions route to the appropriate accounts
- Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account
- Balances postings to bank deposits utilizing provided technical tools in Epic and via Microsoft Excel
- Maintains timely and accurate posting according to departmental goals and report to management
- Documents accounts clearly and accurately
- Analyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department
- Uses system software, including online credit card systems and the Epic system
- Creates, enters, and assigns cash management batches
- Opens and distributes mail received from the post office and financial institutions for the various entities services are billed for
- Contacts the appropriate third party payors, business entities, or financial institutions to resolve unidentified or missing payments
- Accesses any scanned information via One Content imaging system
- Completes and reconciles bank deposits daily
- Utilizes remittance work queues to resolve payment errors
- Reviews and reconciles all postings monthly with the Departmental Coordinator as needed
- Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth
- Researches accounts in work queues with credit or undistributed self-pay balances, and works to resolve these balances by distributing to other outstanding account, refunding another approved facility, or refunding the guarantor
- Investigates insurance overpayments and takes appropriate action from within the work queue to resolve the variance
- Processes refund requests received from third party payors, clinical departments, other areas of Revenue Cycle, and leadership
- Monitors accounts that fall within out special billing guidelines (i.e. cosmetic, bariatric, IVF, plastics, etc.) to insure pre-payment application is done within a timely manner
- Works with the appropriate accountants to maintain a list of all unclaimed property, and maintain a spreadsheet for submission to the state
- Takes calls from registration and customer service staff experiencing issues with cash drawers, and works to resolve the issues
- Insures all refund requests are received from accounts payable, and processes the checks for submission to third party or guarantor
- Maintains current knowledge of payor payment provisions and all local, state, and federal collection laws
- Contacts insurance company or employer to determine eligibility, benefits, and payment information necessary to refund or distribute payments
- Ability to accurately utilize payor portals to initiate overpayment recoveries
- Identifies missing charges and communicates with appropriate coding manager for re-entry
- Completes reports assigned by Revenue Cycle leadership for bulk refunds to third party payors
- Monitors work queue for inappropriate hospital payments posted to professional billing, and works with appropriate entity for posting
- Assists hospital cashier’s office in locating and resolving missing receipts
- Aids accounting department in reconciling patient payments for the entity in which the receipt was deposited
Requirements
What you’ll need- High School Graduate or equivalent
- One (1) year medical billing/medical office experience preferred
- Bookkeeping and cash balancing experience
- Excellent oral and written communication skills
- Knowledge of medical terminology preferred
- Knowledge of third party payers preferred
- Knowledge of business math preferred
- Knowledge of ICD-10 and CPT coding processes preferred
- Working knowledge of computers
Benefits
Comp & perks- Health insurance
- Paid time off
- Professional development opportunities