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Payment Processing Specialist

Job

Health Plans Inc

Westborough, MA (In Person)

Full-Time

Posted 2 weeks ago (Updated 2 days ago) • Actively hiring

Expires 6/19/2026

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Job Description

Position:
Payment Processing Specialist Department:
Payment Processing Reports To:
Kyle Gilbreath FLSA Status:
Non - Exempt About HPI At HPI, we are a forward-thinking, national third-party administrator (TPA) specializing in self-funded health plan solutions. With over 44 years of industry expertise, our entrepreneurial spirit, flexible approach, and personalized service have empowered us to serve clients of all sizes across diverse industries. We deliver innovative strategies that maximize the value of every healthcare dollar. The self-funded health plan landscape is constantly evolving. At HPI, our partners benefit from having a TPA with the expertise, resources, and creativity to deliver customized plan solutions that help them win and retain more business. We excel at driving costs down and managing risk, while enhancing our clients' employees' health insurance experience. Our goal is to help members clearly understand their health plan and provide responsive service, enabling them to fully utilize their benefits and achieve greater health. Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team's growth and well-being, we ensure they are equipped to provide exceptional service.
Summary :
The Payment Processing Specialist is responsible for the facilitation of the payment process across Health Plans, Inc.'s client base. Duties and Responsibilities (other duties may be assigned): Coordinate claim, broker and vendor payment process as it relates to clients' plan expenses. Coordinate invoicing process related to client and member billing. Compile and audit various daily reports pertaining to the payment process. Research and resolve remittance questions and situations. Communicate with claim examiners, account managers and various other departments according to internal and client needs. Communicate with outside vendors to insure the issuance and integrity of checks and EOBs created during the check run process. Facilitate cross-departmental projects pertaining to billing, funding and enrollment that impact the validity of payments issued by the department. Prepare management and client reports as needed.
Requirements :
The ideal candidate will have a High School Diploma and 2+ years' experience in accounts payable, invoicing or general accounting, preferably in the healthcare industry. Must work collaboratively with other departments to resolve issues, have strong decision and problem-solving skills, be detailed, accurate, organized and able to prioritize tasks, work within timeframes and meet deadlines, recognize and maintain confidentiality, and communicate in a professional manner. Proficiency with Microsoft Word and Excel required. May need to work overtime and be available to work occasional weekends if the business requires.
Working Environment/Physical Demands :
The work environment characteristics and physical demands described here are representative of those an employee may encounter while performing the duties of this job. The noise level in the work environment is moderate. The employee may occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to sit, walk, speak, or hear. The employee is frequently required to use hands or feel or handle items as well as reach with hands and arms. The employee is occasionally required to stand.
Reasonable Accommodation:
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position. EEO/AA/M/F/Vet/Disability Employer

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