Payment Posting

2 months ago


Oviedo, United States Elite Care Rx Full time
Job DescriptionJob Description

Elite Care Rx is a professional Pharmaceutical and Claim Management Company headquartered in beautiful Oviedo, Florida. With nearly two decades of experience, we’ve earned a reputation of being the industry leader and expert in pharmaceutical programs dedicated to the treatment of industrial and auto accident injuries. Through our programs, injured workers obtain more convenient and much needed access to medically necessary prescriptions and care that may otherwise be difficult for them to receive when navigating the challenges related to the treatment of a patient in the workers compensation realm.

We pride ourselves on being a management company that was built from a billing and collection infrastructure. Quality employees are the lifeblood of a company and at Elite Care Rx we invest in top level domestic experts. With the dedication and expertise of our team, providers are better able to adequately treat their patients, and injured workers are better able to receive the care they need to recover from their ailments, receive relief from symptoms, and ultimately heal in order to return to work and normal life functions.

JOB SUMMARY:

The Payment Posting & Reconciliation Specialist will manage accounts receivable and collection of payments for all designated payers and designated locations in order to meet and maintain goals.  Employee will also manage and reconcile all payments, making sure it is posted into the patient’s account accurately and perform required adjustments; if necessary flagging the accounts for further attention by the Collections Department.

DUTIES & RESPONSIBILITIES:
• Post all personal, insurance, and Workers Comp payments from Remittance and EOB’s
to appropriate accounts with minimum errors.
• Apply manual payments and auto payments to accounts for multiple payor types (Work Comp insurance, PIP insurance, attorney checks, etc.)
• Analyze EOB information including co-pays, deductible, co-insurance, contractual adjustments, denials and more to verify accuracy of patient balances.
• Scan all EOB’s into system
• Reconcile shortage on both paper and electronic EOBs to determine proper allowance and correct write off.
• Assist in running and balancing credit cards daily.
• Save batch reconciliation to Excel Spreadsheet daily.

QUALIFICATIONS AND EDUCATION REQUIREMENTS:

High School Diploma. College degree preferred.

  • Problem Solving
  • Mathematical Skills
  • Interpret instructions furnished via written, oral, diagram or table form
  • Verbal and written communication skills
  • Work independently within a structured environment that includes daily supervision
  • Knowledge of Work Comp and PIP regulations and billing procedures is a plus

** Starting wages negotiable based on experience and quality of interview. **



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