Medical Payment Poster

Found in: beBee jobs US - 2 weeks ago


Anaheim, United States Anaheim Admin Full time

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Medical Payment Poster in Anaheim, CA.

The Payment and Reconciliation Analyst at PPOSBC and Melody Women's Health is responsible for reviewing, interpreting, and analyzing explanations of benefits (EOB) from insurance carriers to post appropriate payments, non-payments, adjustments, deductibles, copays, non-covered and denial transactions to open patient claims and refunding credits.

At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including:

  • A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability.
  • Benefits coverage starts after one full month of employment
  • Generous vacation, sick, and holiday benefits
  • Generous 401(k) matching contributions and more
  • To view our detailed benefits guide, please visit our career site at

Responsibilities

Essential Functions: Essential functions encompass the required tasks, duties and responsibilities performed as part of the job and the reason the job exists.

  • Post all manual checks, ACH payments, and adjustments daily.
  • Post all non-EDI payments, zero-pay EOBs, contractual allowances, denial codes, deductibles, and copayments.
  • Post insurance payments, insurance supplement payments, and Prop 56 payments on the payment log.
  • Must ensure Capitation and Prop 56 RA (remittance advice) are attached to all payments.
  • All payments must be posted within one day of receipt
  • Post all EC-OTC payments.
  • Performs appropriate follow-up with payer for payment when in receipt of ERA
  • Pull EOBs from payer websites and other applications as needed.
  • All credit card payments must run daily and posted to the transaction in eCW.
  • Research unidentified payments to determine appropriate resolution.
  • Update and maintain all logs and spreadsheets used for reconciliation.
  • Identify credit balances at the time of posting and submit a refund request for approval.
  • Patient refund requests must be logged on A/P patient reimbursement log and Vendor import log when submitting 10 or more patients within one week.
  • Enter refunds in eCW in a timely manner.
  • Identify payment trends and notify Manager.

Non-Essential Functions:

  • Other duties as assigned.

PHYSICAL REQUIREMENTS:

The physical requirements of this position are identified below. Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.


Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Education:

  • High School Diploma.
  • Associate's or Bachelor's Degree preferred or equivalent experience in related field.

Minimum Work Experience:

  • Minimum of 3 year's recent experience in cash balance, cash posting or cash applications.
  • Intermediate Excel skills, including working with tables, filters, and multiple spreadsheets.
  • Medical and Insurance terminology essential.

Other Requirements:

  • Strong data entry skills; ability to input a high volume of information.
  • Must thrive in a fast-paced, rigorous environment with changing priorities.
  • Ability to meet deadlines and work under pressure.
  • Must demonstrate high-level computer skills, including; Microsoft Word, Excel, and Outlook.

Agency Standard Requirements:

  • Strong commitment to quality healthcare and excellent customer service is required.
  • Must thrive in a fast-paced, rigorous environment with changing priorities.
  • Ability to meet deadlines and work under pressure.
  • Must demonstrate high-level computer skills, including; Microsoft Word, Excel, and Outlook. Electronic medical records experience may also be required.
  • Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPOSBC locations and by all PPOSBC employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees.


  • Anaheim, United States Planned Parenthood of Orange and San Bernardino Counties Full time

    Additional Comp Info: Salary based on experience. Overview: Planned Parenthood of Orange and San Bernardino Counties has a** full-time hybrid ( 2 days working remote 3 days in office ) opportunity for a **Medical Payment Poster **in Anaheim, CA.** ***The Payment and Reconciliation Analyst at PPOSBC and Melody Women’s Health is responsible for reviewing,...

  • Medical Payment Poster

    Found in: beBee jobs US - 3 days ago


    Anaheim, United States Anaheim Admin Full time

    Planned Parenthood of Orange and San Bernardino Counties has a full-time hybrid ( 2 days working remote 3 days in office ) opportunity for a Medical Payment Poster in Anaheim, CA. The Payment and Reconciliation Analyst at PPOSBC and Melody Women's Health is responsible for reviewing, interpreting, and analyzing explanations of benefits (EOB) from insurance...

  • Medical Payment Poster

    Found in: beBee S US - 2 days ago


    Anaheim, United States Anaheim Admin Full time

    Planned Parenthood of Orange and San Bernardino Counties has a full-time hybrid ( 2 days working remote 3 days in office ) opportunity for a Medical Payment Poster in Anaheim, CA.  The Payment and Reconciliation Analyst at PPOSBC and Melody Women’s Health is responsible for reviewing, interpreting, and analyzing explanations of benefits (EOB) from...


  • Anaheim, United States Aero Mobility, Inc. Full time

    Job DescriptionJob DescriptionPosition Summary: The Reimbursement Specialist performs administrative and reimbursement functions. Prepare and handle billing for accounts to ensure timely reimbursement. Identify insurance requirements including qualifications needed to ensure payor requirements are met. Verify balances and receipts of all cash payments....


  • Anaheim, United States ALFEL RESOURCES INC Full time

    Job DescriptionJob DescriptionBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong eagerness to learn, we want to hear from you!We are seeking a motivated...


  • Anaheim, United States ALFEL RESOURCES INC Full time

    Job DescriptionJob DescriptionBenefits:401(k) matchingCompetitive salaryHealth insurancePaid time offBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong...


  • Anaheim, United States KPC GLOBAL MEDICAL CENTERS INC. Full time

    Job DescriptionJob DescriptionHybrid $3,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...


  • Anaheim, United States KPC GLOBAL MEDICAL CENTERS INC. Full time

    Job DescriptionJob DescriptionThe Denials Management Specialist is responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to management, and generating appeals for denied or underpaid claims.DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned.Validate denial...


  • Anaheim, United States Healthcare Services, Inc. Full time

    Overview: The Financial Coordinator will be responsible for managing coordination of benefits (COB), assisting clients with insurance processes, and supporting billing operations. This role requires attention to detail, strong communication skills, and the ability to maintain confidentiality. **Responsibilities**: - **Complete Coordination of Benefits...

  • Admitting Clerk

    7 days ago


    Anaheim, United States Kaiser Permanente Full time

    **Job Summary**: Under direct supervision, admits patients to the hospital and reviews all required documents for completeness and appropriate signatures; types appropriate forms and assembles accurate and complete records; prepares identification armbands and admission cards; receives valuables and may assist in bed assignments. **Essential...


  • Anaheim, United States Physical Rehabilitation Network Full time

    ** Patient Service Representative** ** California Rehabilitation & Sports Therapy - Anaheim, CA** **Tagged:** Medical Receptionist, Front Desk Receptionist, Receptionist, Patient Service Representative We are seeking an enthusiastic and versatile Patient Service Representative (PSR) to join our dynamic out-patient orthopedic clinic. We take pride in our...

  • Case Manager/lvn

    3 days ago


    Anaheim, United States Harbor Villa Care Center Full time

    The purpose of your job position is to coordinate delivery of services to managed care and Medicare residents in accordance with current federal, state and local standards and regulations that govern the facility and in collaboration with the Administrator, Director of Marketing, and other facility staff. The Case Manager monitors and documents the cost...


  • Anaheim, United States TriCom Quest Full time

    Job DescriptionJob DescriptionAn established manufacturer in Orange County seeks an analytical and organized professional to manage supply planning analysis and forecasting. This is a temp-hire role offering excellent benefits.$ 67K – 83K per year, exemptBenefits after direct hire: Medical, Dental, Vision, Life Insurance, Short- & Long-term Disability,...

  • Project Coordinator

    Found in: Resume Library US A2 - 7 days ago


    Anaheim, California, United States Reborn Cabinets Inc. Full time

    Overview:   With over 40 years of industry experience, Reborn Cabinets is a dynamic remodeling company specializing in high-quality kitchen and bathroom solutions. We have established ourselves as leaders in the home improvement industry, committed to excellence and customer satisfaction. Our team is dedicated to delivering superior craftsmanship and...

  • Senior Accountant

    6 days ago


    Anaheim, United States CareerBuilder Full time

    The City of Anaheim Finance Departmen t Accounting Division seeks two dynamic Senior Accountants to support the City's accounting and financial reporting, grant accounting, single audit, general ledger, cash management, debt service administration, wire transfers, accounts payable, account analysis and reconciliations. The position performs advanced level,...

  • Assistant Community Association Manager

    Found in: Resume Library US A2 - 7 days ago


    Anaheim, California, United States RealManage Full time

    Overview: RealManage is a national Inc. 5000 firm with clients and operations in 24 states from California to Florida and from Texas to Illinois that delivers services to homeowners’ associations (HOAs), condominium associations, cooperatives, luxury high-rises, municipal utility districts, and master-planned communities.  RealManage also serves...

  • Community Association Manager

    Found in: Resume Library US A2 - 7 days ago


    Anaheim, California, United States RealManage Full time

    Overview: Company Overview: RealManage, an Inc. 5000 firm, operates in 24 states, providing comprehensive services to homeowners' associations, condominiums, cooperatives, luxury high-rises, municipal utility districts, and master-planned communities.  Recognized as one of the fastest-growing companies (#3 out of 5,000+ firms) in community management,...

  • RN - HOME HEALTH

    Found in: Careerbuilder One Red US C2 - 2 days ago


    Anaheim, CA 92808, USA, United States Providence Health & Services Full time

    $10,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment.RN - HOME HEALTHSchedule: Full time Day shiftPossible Service Locations: will travel/serve Villa Park, Yorba Linda, Anaheim Hills and most of OrangePay Structure: Pay Per VisitJob Description:Registered Nurses (RNs) work alongside an...