Payment Specialist
Altru Health System
Accounting & Finance
Grand Forks, ND, USA
USD 17.07-25.6 / hour
Posted on Jan 3, 2026
Everything we do is underscored by a why — and that why is one another.
Location:
Altru Health System
PO Box 6002
Grand Forks, ND 58201Pay Range: $17.07 - $25.60Summary:
The Payment Specialist ensures daily processing of payments, deposits and electronic remittance files. The specialist works closely with staff that are responsible for accounts receivable resolution for our customers. This position is responsible for maintaining compliance and supporting continuous improvement efforts.Essential Job Functions:
Assists customers who are making payments by completing accurate written receipts, providing correct change, and providing correct account information in a manner consistent with Altru Health System’s Customer Service Standards.
Learns and utilizes current credit card approval systems to ensure proper processing of authorizations, posting and balancing of credit card payments.
Reconciles and prepares deposit, communicating accurately and effectively with other staff/departments involved in the cash management process. Posts assigned receipts manually into appropriate patient accounting system, balancing posting to cash, checks, wire, and credit card totals.
Coordinates and communicates split payment posting with other Business Office and Accounting staff to ensure accurate and timely posting.
Posts zero payments to appropriate accounts, analyzes the reasons for denials and passes information to appropriate denial/follow-up areas. Interprets and documents payment, adjustment, and denial information from Explanations of Benefits into appropriate patient accounting notes.
Completes downloads and uploads of assigned electronic remittance files into appropriate patient accounting system, analyzing and editing data to ensure proper posting and balancing of payments and/or adjustments.
Analyzes insurance payments and adjustments to verify they are made according to our insurance contracts and to identify possible incorrect payments/discounts.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Language Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Frequently (34-66%)• Stand: Occasionally (5-33%)• Walk: Occasionally (5-33%)• Stoop/Bend: Occasionally (5-33%)• Reach: Frequently (34-66%)• Crawl: Not Applicable• Squat/Crouch/Kneel: Occasionally (5-33%)• Twist: Occasionally (5-33%)• Handle/Finger/Feel: Continuously (67-100%)• See: Continuously (67-100%)• Hear: Continuously (67-100%)Weight Demands:
• Lift -Floor to Waist Level: Sedentary (<10 pounds)• Carry: Sedentary (<10 pounds)• Push/Pull: Sedentary (<10 pounds)• Slide/Transfer: Not ApplicableWorking Conditions:
• Indoor: Continuously (67-100%)• Outdoor: Not Applicable• Extreme Temperature: Not ApplicableDriving Requirement Definitions:
- Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Infrequent DriverReference ID: R6977Making a real difference. For one another.
To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
