Billing Representative- Medical Office

2 weeks ago

Akron, United States TeamHealth Full time

TeamHealth is named among the "150 Great Places to Work in Healthcare" by Becker's Hospital Review and has ranked three years running as "The World's Most Admired Companies" by FORTUNE Magazine as well as one of America's 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.


~ Career Growth Opportunities
~ Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
~401K program (Discretionary matching funds available)
~ GENEROUS Personal time off
~ Eight Paid Holidays per year
~ Quarterly incentive plans

This is a REMOTE opportunity supporting our Akron, OH Billing Center. Candidates must be located in EST.



JOB DESCRIPTION OVERVIEW:


The Payment Posting Representative is responsible for posting payments and other transactions to the billing system for various payors including Medicaid, Medicare, and Commercial plans. Posting such payments, co-insurance, deductibles and necessary adjustments for emergency medicine type services is expected to be completed with accuracy and appropriate level of productivity.



ESSENTIAL DUTIES AND RESPONSIBILITIES:


Post transitions according to Explanation of Benefits (EOB) provided by insurance companies. Post contractual adjustments and patient responsibility amounts according to payor guidelines
Post correspondence mail according to the information provided on the letters to ensure proper actions are taken by appropriate departments to resolve requests
Contacts insurance carriers and requests EOB's as necessary
Reports any issues identified that impact invoices from being processed correctly
Responsible for managing Automated Exchanges that may require manual intervention for completion
Report any discrepancies that can be corrected by revising automated logic to resolve root-cause
Understanding of automation process for payment posting
Post batches and balance to the correct check amount and ensure all transactions are posted with accuracy
Post all payments to the individual invoices matching patient date of service to the payment explanation of benefits received
Post all rejections listed on payment EOBs
Post payments with no identification to a specific patient invoice to the unapplied accounts with proper back up information
Completion of the deposit batch logs
Responsible for maintaining all policy and procedures
Participates in department meetings
Manages work load to post batches within the required turn around time
Assist other team members with their batches depending on volume to ensure department is within the targets
Turns to supervisor for unusual circumstances that may require further assistance including recoups, adjustments, fee schedules, rejections, etc.
Performs any and all duties as directed by management

QUALIFICATIONS / EXPERIENCE:


Insurance / patient payment posting experience required
Excellent computer skills, including proficiency in Microsoft Office
Ability to handle a variety of tasks in a fast paced environment, knowledge of IDX, GE Centricity, is a plus
Excellent problem-solving, communication, organizational, and time management skills are essential for this role

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