Description

Position Summary:  

The Payment Posting Specialist is responsible for the timely and accurate posting of payments, denials and adjustments. Accurate and detailed posting of EOB payment from the insurance companies and patient check or credit card payments to the patient account. Verify checks against totals on summary transmittals. 

Duties and Responsibilities: 

• Accurately identify patient, account number and type of payment/procedure for account application. 
• Effectively communicate with inquiring parties (patients, insurance companies or other A/R teams) regarding patient account. 
• Accurately apply payments, process refunds or re-submit accounts as needed 
• Identify and communicate insurance company codes to Follow-up team on payment or denials. 
• Correspond with remote locations to verify payments are send and received, including patient names, account numbers and types of payments 
• Efficiently process incoming paperwork utilizing department resources as needed 
• Maintain knowledge of department policies and insurance protocols. 
• Ability to stay focused and perform job duties efficiently and accurately 
• Responsible for maintaining workload balance, ensuring maximum efficiency, eliminating rework, and reducing cost 
• Review and respond timely to requests, including emails, telephone calls, issues, account research and resolution as needed by co-workers, management and clients. 
• Participate in meetings, conference calls and training sessions, including Management Meetings, Team Meetings, as well as any meetings while working telecommuting during assigned daily work schedule. 
• May process incoming and outgoing mail. 
• May receive incoming telephone calls and resolve issues communicated. 
• Interfaces with patients, physicians, and others regarding professional billing operations 
• Assists in reviewing and balancing transaction reports for administration. 
• Reconciles daily receivables reports. 
• Performs various duties as needed in order to successfully fulfill the function of the position. 
• Ability to interpret and apply policies and procedures 
• Other duties as assigned. This is a safety sensitive position. 

Qualifications: 

• Education: 
• High School diploma and/or equivalent combination of education and experience 
• Experience: 
• 12 months experience in Medical Billing, Medical Collections or Medical Billing Systems. 
• Experience with traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp 
• Skills: 
• Ability to use 10key by touch. 
• Able to type 45 wpm. 
• Basic Microsoft Excel and Word knowledge. 
• Medical billing knowledge 
• Read EOB's (Explanations of Benefits). 
• Analytical skills. 
• Organizational skills 

Working Conditions: 

• May be exposed to/occasionally exposed to patient elements. o Subject to varying and unpredictable situations and interruptions.  
• Occasionally subjected to irregular hours. o Occasional pressure due to a fast-paced environment. 
• Position may require lifting, carrying or pushing equipment or patients. 

Requirements

Physical Requirements: 

• Must be able to see with corrective eye wear.  
• Must be able to hear clearly with assistance.  
• May be exposed to infectious and contagious diseases. 
• May be in contact with patients under a wide variety of circumstances. 
• Able to handle emergency or crisis situations.  
• Will be required to wear protective equipment as necessary.  
• Ability to escort or transport patient by wheelchair or stretcher  
• Frequently: Sitting, walking, standing.  
• Occasionally: Bending, squatting, climbing, kneeling, twisting, lifting, carrying, pushing, traveling.  
• Ability to lift 15-20 pounds.