Underpayments and Payment Posting Specialist III

1 day ago

City of Yonkers NY United States 61st Street Service Corporation Full time

Career Opportunities with 61st Street Service Corp

Current job opportunities are posted here as they become available.

Underpayments and Payment Posting Specialist III #Full Time

The Underpayments and Payment Posting Specialist III is responsible for evaluating payments posted for contracted plans compared to published fee schedules with a focus on underpayments and overpayments. The Specialist performs duties and job responsibilities in a fashion which coincides with the service management philosophy of the Columbia University College of Physicians & Surgeons including the demonstration of the basics of service excellence toward patients, visitors, staff, peers, physicians and other departments.

Job Responsibilities:

  • Review credit balance to determine cause of overpayment and correct if necessary.
  • Review under/overpayments, prepare Experian Excel spreadsheet and summarize findings.
  • Submit findings to Payment Posting Manager and participate in meetings/conference calls with Contracting/CRO staff to discuss issues.
  • Track reprocessing of project file payment errors.
  • Correct payment postings and resubmit claims as needed.
  • Process credit card payments and post self-pay time of service or prepayments.
  • Post contractual allowances.
  • Review overpaid accounts and process adjustments transactions as needed.
  • Collaborate with revenue cycle vendor to support the accurate posting of Anesthesia payments.
  • Investigate and resolve payment/denial issues.
  • Initiate and support secondary and tertiary billing.
  • Review and resolve unidentified cash.
  • Act as a first point of escalation and monitor supervisory or secondary work queues.
  • Assist with training support of new hires.
  • Perform other duties as assigned.

Job Requirements:

  • High school graduate or GED certificate is required.
  • A minimum of 3 years of data entry experience in a physician billing or third-party payor environment.
  • Candidate must demonstrate the ability to understand and navigate the underpayments and credit balances process including health insurance billing, collections, and eligibility as it pertains to commercial and managed care, self-pay reimbursement concepts, and payment posting including denials and adjustment transactions.
  • Candidate must demonstrate an intermediate to advanced proficiency level of problem assessment, resolution and collaborative problem solving in complex, interdisciplinary settings.
  • Ability to work independently and mentor other peers.
  • Experience in Epic and/or other electronic billing systems is preferred.
  • Knowledge of ICD-9 and CPT-4 coding, and medical terminology is preferred.
  • Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges: $26.44 - $32.69

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education.

61st Street Service Corporation

At 61st Street Service Corporation we are committed to providing our clients with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive benefit package to eligible employees; including healthcare and various other benefits including paid time off to promote a healthy lifestyle.

We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

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