About the Opportunity

A well-established healthcare organization is seeking a Payment Operations Specialist to join its team. This role is responsible for processing, researching, and reconciling premium and non-premium payments while ensuring accuracy, compliance, and adherence to service level agreements (SLAs). The ideal candidate is detail-oriented, analytical, and thrives in a fast-paced environment.

Key Responsibilities

• Process premium and non-premium payments using established procedures.
• Accurately enter payment information into appropriate systems.
• Perform quality control checks to ensure data accuracy and integrity.
• Adhere to departmental controls and MAR compliance requirements.
• Research payments using internal systems and bank imaging tools.
• Collaborate with Accounting, Billing, and Accounts Receivable teams to allocate and reconcile payments.
• Build and maintain relationships with external banking partners to resolve payment-related issues.
• Meet payment processing deadlines and departmental Service Level Agreements (SLAs).
• Batch and prepare incoming mail in accordance with internal controls.
• Research and process payments identified on daily exception reports, including during peak periods such as Open Enrollment.
• Understand payment adjustments and their impact on customers.
• Respond to payment inquiries within established SLAs.
• Maintain departmental productivity and quality standards.
• Process deposits through Remote Deposit Capture (RDC) and Virtual Lockbox systems, including required reporting.
• Identify and implement process improvements.
• Proactively resolve payment exceptions and issues.
• Participate in projects and perform additional duties as assigned.

Qualifications

• Bachelor's degree or equivalent experience.
• Up to 2 years of relevant work experience.
• Strong ability to manage multiple priorities in a fast-paced environment.
• Excellent analytical and problem-solving skills with the ability to identify root causes.
• High attention to detail and accuracy.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Excel, Word, and Outlook.
• Ability to collaborate effectively with cross-functional teams.

Preferred Qualifications

• Treasury experience within the healthcare or insurance industry.
• Experience with Oracle applications.
• Experience with PeopleSoft.

Required Skills

• Payment processing and reconciliation
• Data entry and quality assurance
• Financial research and analysis
• Accounts receivable support
• Process improvement
• Customer service
• Microsoft Office Suite (Excel, Word, Outlook)
• Team collaboration
• Time management and organization

• Pay Rate: $23 - $24 per Hour
  • Note: Pay rate will be commensurate with experience.
• Medical for full time employees
• Dental, and Vision Insurance