Payment Posting
1 week ago
Reporting to the Senior Billing Manager, the Payment Posting and Reconciliation Specialist will have prior medical posting experience. He or she must possess the desire to learn and grow with a company that is rapidly expanding.
Responsibilities:
- Post all personal, insurance and liability payments from Remittance and EOB’s to appropriate accounts with minimum errors.
- Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances.
- Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances
- Scan all EOB’s into system and creates hardcopy file for original EOB's by day.
- Add appropriate ANSI denial codes and comments to assure all necessary appeals and post payment follow up can take place.
- Investigate the source of unidentified payment to ensure they are applied to appropriate accounts. If necessary will contact the sender to clarify where the payment should be posted.
- Reconcile shortage on both paper and electronic EOBs to determine proper allowance and correct write off.
- Assist in updating the Direct Deposit Daily.
- Assist in performing comparison of downloaded files to the Direct Deposit and correct any discrepancies.
- Assist in setting up Electronic Remittance Advices (ERA) for Commercial and Medicare payors.
- Assist in running and balancing credit cards daily.
- Send all batch reconciliation information to the Finance department.
- Assist in performing check deposits and assembling logs daily.
- Contact patients, insurance or third party administrators when clarification of information is needed to successfully post payment.
- Handle telephone questions and concerns from patients.
- Work on recoupment accounts to settle.
- Research inquiries in a professional and courteous manner and work with Accounts Receivable team members, to identify and resolve escalated customer concerns in a timely manner, potentially without direct Supervisor oversight.
- Perform other duties as assigned.
Qualifications & Skills:
- Data entry skills and working knowledge of computer required.
- Exceptional customer service and interpersonal communication skills. Proficient in examining documents for accuracy and completeness.
- Ability to manage time effectively.
- Ability to handle payment in accordance with detailed instructions.
Work Environment & Physical Demands:
- Work is performed in an office setting.
- Physical demands of position: sitting, standing, walking, typing, phone communication, face to face conversation.
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