At Strivant Health, accurate resolution of patient payment discrepancies is critical to maintaining clean accounts and delivering an exceptional patient financial experience. The Patient Anomaly Specialist is responsible for researching, auditing, and resolving patient payment anomalies, including unidentified payments, misapplied payments, duplicate payments, unapplied balances, credit balance discrepancies, overpayments, underpayments, and other cash research activities that may not necessarily result in a refund.

This role requires strong analytical and problem-solving skills to investigate complex account activity, identify root causes, and ensure accurate account resolution. The Patient Anomaly Specialist tracks outstanding anomalies, collaborates with internal and offshore teams, communicates with clinics and clients when additional information is needed, and ensures all follow-up activities are completed timely and accurately.

What You'll Do - Your Impact Matters

• Research and resolve patient payment anomalies across multiple practice management systems.
• Investigate unapplied payments, unidentified payments, duplicate payments, overpayments, underpayments, and misapplied transactions.
• Analyze patient account activity and payment histories to determine appropriate account resolution.
• Perform cash research on payment discrepancies that may or may not result in a refund.
• Review supporting documentation and account balances to identify root causes of payment issues.
• Collaborate with payment posting, denial management, refunds, patient accounting, and accounts receivable teams to resolve discrepancies.
• Monitor outstanding anomaly inventories and ensure timely follow-up and resolution.
• Maintain and update trackers, logs, and SharePoint categories to support audit compliance and operational transparency.
• Research payer, patient, and system-related discrepancies impacting account balances.
• Identify trends and recurring issues and communicate findings to leadership and operational teams.
• Perform daily audits and quality reviews of completed work to ensure accuracy and completeness.
• Communicate professionally with clients, clinics, and internal departments regarding payment-related issues.
• Assist with account reconciliations and resolution of exception items.
• Support process improvement initiatives designed to reduce payment discrepancies and improve operational efficiency.
• Participate in training, meetings, and educational activities to enhance job knowledge.
• Ensure compliance with HIPAA and all applicable regulatory requirements.
• Support special projects and additional duties assigned by management.

What You Bring to the Table

• High School Diploma or equivalent required. Bachelor's degree preferred.
• Minimum 2 year of experience in payment posting and denial management within a medical billing, revenue cycle management, or healthcare accounts receivable environment.
• Experience in payment posting, cash applications, denials, refunds, accounts receivable, or payment reconciliation strongly preferred.
• Strong analytical and problem-solving skills with the ability to research complex account activity.
• Ability to identify, investigate, and resolve payment discrepancies independently.
• Strong understanding of medical terminology, insurance reimbursement processes, and payer requirements.
• Attention to detail with the ability to identify issues, document findings, and implement resolutions accurately.
• Ability to analyze ledgers, remittances, account histories, and payment transactions.
• Excellent written and verbal English communication skills.
• Intermediate proficiency in Microsoft Excel, Outlook, and Word.
• Strong organizational and time-management skills with the ability to manage multiple priorities.
• Ability to work collaboratively with internal teams, clients, and offshore resources.
• Ability to maintain confidentiality and comply with HIPAA requirements.