RCM Payments Specialist I - Full Time

Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Joining us means doing meaningful work that directly improves the healthcare experience for millions—from helping families access care quickly to ensuring clinics run smoothly behind the scenes. If you want to make a real impact alongside innovative, dedicated teammates while contributing to a trusted platform that’s becoming the operating system for on-demand care, Experity is the place to grow your career.

Experity offers the following:

• Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
• Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
• Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
• Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Compensation: Budgeted between $19.10 and $21.50 dependent upon applicable experience.

Onsite: This position will be onsite Monday – Friday at our Machesney Park office.

Responsibilities:

• Obtain and review bank reports, lockbox files, client scans, credit card reports, payer documentation, EOBs, ERAs, and EFT information.
• Prepare and submit payment documentation for processing within established daily deadlines.
• Reconcile assigned client payment activity and ensure payments received, prepared, posted, and documented are accurately accounted for.
• Review payment posting activity and identify routine posting errors, discrepancies, missing payments, and exceptions.
• Research and resolve missing EOBs, payment-pending activity, EFT activity, unapplied payments, and other assigned payment exceptions.
• Review payer websites and obtain required EOBs and supporting payment documentation.
• Understand and interpret payer EOBs and basic payment posting activity.
• Maintain and process PowerFlow exceptions and utilize PowerFlow File Explorer as required.
• Maintain BOX/IOS/PFE documentation and supporting client files.
• Maintain Recon Cash Logs, applicable unapplied logs, client missing spreadsheets, and payment/EFT logs.
• Perform assigned payment posting activities, including insurance, patient, OccMed/EPS, collection agency, recoupment, and other payment types as trained and assigned.
• Research credit card payment activity and process applicable credit card reports.
• Support bad debt and collection agency activity as assigned.
• Complete month-end missing processes and assist with closing assigned clinics.
• Understand reconciliation control numbers, applicable reconciliation columns, and supporting reports.
• Respond to and close assigned Salesforce tickets.
• Respond to client and internal emails professionally and within established expectations.
• Create and maintain clinic guides, SOPs, and supporting documentation in SharePoint and Salesforce.
• Identify and communicate issues involving Omega and assist with routine resolution.
• Review, track, and discuss applicable key performance indicators.
• Manage and complete assigned productivity requirements within established deadlines.
• Maintain patient and client confidentiality and appropriately protect PHI.
• Contribute to team goals and complete other duties as assigned.

Business Impact:

• Supports timely and accurate revenue recognition by ensuring payment documentation is prepared, posted, reconciled, and accounted for throughout the payment lifecycle.
• Reduces payment-processing delays and financial discrepancies by identifying and resolving missing information, posting errors, EOB/EFT exceptions, unapplied activity, and reconciliation variances.
• Protects client and patient trust while supporting accurate month-end close through dependable client ownership, documentation, and appropriate handling of PHI.

Education:

• Associates degree or equivalent combination of education and experience.

Experience:

• One year related experience as a payment poster and/or accounting experience.
• Proficiency with Windows-based applications and Microsoft Office software products.

Preferred:

• Knowledge and solid understanding of medical billing terminology and insurance laws/guidelines.

Travel:

• Limited to no travel.

#LI-ONSITE

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.