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Accounts Receivable Posting Specialist

3 months ago

Albany, United States Albany Area Primary Health Care Full time
Job DescriptionJob Description

The position of Accounts Receivable Posting Specialist is responsible for posting revenue for all payers. This includes timely and accurate posting of revenue from all payers, daily and month-end processing.

JOB CLASSIFICATION: 109

Responsibilities and Duties

Responsible for reviewing and posting Medicare, Medicaid, Commercial and all other various companies.

Responsible for reviewing all self pay claims.

Assist facility managers with understanding of payments posted to patient accounts.

Follow up with all payers on missing explanation of benefits.

Document follow up notes on the claim

Updates patient demographic data or insurance information on EHR system, as needed.

Stay abreast of changes for all payers

Alert Insurance Director of payers that are reimbursing at current fee schedule

Stays abreast of participation in managed care contracts negotiated by AAPHC, benefits of plan and patient responsibility.

Reviews accounts and ensures that insurance adjustments are recorded correctly on a timely basis

Performs write offs per AAPHC financial policies and brings any account problems to attention of the Insurance Director

Trend claim denials and reports to Insurance Director

Request refund payments per financial policies

Promotes facility staff development by providing insurance and demographic support and training

Ensures credit balances are worked on a consistent basis

Communicates with Insurance Manager if codes could cause denial of claim

Responsible for close of day information

Responsible for ensuring all documents are sent to accounting daily

Responsible for scanning paper remittances in HER

Responsible for assisting enrollment team with ensuring all paper payments are converted to electronic payments, if allowed by insurance company.

Performs other duties as assigned

KNOWLEDGE, SKILLS AND ABILITIES

Knowledge of medical business procedures, insurance reimbursement practices, patient accounting systems and computer data entry, organization’s policy and procedures specific to patient billing

Attention to detail and accuracy.

Ability to work with the public and respect for patient confidentiality.

EDUCATION AND EXPERIENCE