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Revenue Cycle Specialist

3 months ago

Addison, United States OrthoMed Anesthesia Full time
Job DescriptionJob DescriptionDescription:

We are looking for a dedicated Medical Payment Posting Specialist to join our team. The ideal candidate will possess a strong background within revenue cycle, a meticulous approach to problem-solving, and a passion for ensuring accurate and timely payments posting. This role involves working with claims for reconciliation and collaborating with various stakeholders to optimize the revenue cycle.


Responsibilities:

  • Post and reconcile patient payments, adjustments within our billing system.
  • Expertly allocate payments and adjustments to the corresponding patient accounts
  • Identify and resolve posting discrepancies and billing issues for efficient problem resolution.
  • Analyze Explanation of Benefits (EOBs) and remittance advice to identify payment discrepancies.
  • Taking prompt and appropriate actions to rectify any issues.
  • Proactively monitor and reconcile accounts receivable (AR)
  • Ensure timely and accurate payment posting to maintain optimal financial health.
  • Collaborate with insurance companies, payers/stakeholders to address payment and reimbursement.
  • Stay up to date with billing guidelines and payer policies to ensure compliance in payment posting.
  • Generate insights and analysis of metrics, identifying trends or opportunities for improvement.


Requirements:
  • High school diploma or equivalent; healthcare administration degree preferred.
  • Proven experience in Healthcare Revenue Cycle Management Posting.
  • In-depth knowledge of medical billing, coding processes, and reimbursement methodologies.
  • Proficient in payment posting and reconciliation using billing software; familiarity with EOBs.
  • Strong analytical skills, attention to detail, and accuracy.
  • Understanding of medical terminology, CPT, HCPCS, and ICD-10 coding systems.
  • Effective communication skills for collaboration with teams and external stakeholders.
  • Ability to multitask, prioritize, and meet deadlines in a fast-paced environment.
  • Proficient in MS Office applications.

Preferred Qualifications:

  • 3+ years of working in medical payment posting