Specialist, Payment Posting

4 weeks ago


San Antonio, United States Mpower Healthcare Full time

Overview

About MPOWERHealth:

For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplify what's complex, and we help them find a better way. Our best-in-class analytics coupled with industry-leading expertise make MPOWERHealth the company our customers can rely on no matter what lies ahead.

Benefits:

* Multiple medical plan options
* Health Savings Account with company contributions
* Dental & vision coverage for you and your dependents
* 401k with Company match
* Vacation, sick time & Company paid holidays
* Company wellbeing program with health insurance incentives

Responsibilities

Duties:o Manually post high volumes of insurance; patient; and attorney payments and adjustments that are received via check; credit card; and EFT;o Post zero pay insurance denials and other electronic remitso Review payments to ensure proper reimbursement of claims and report any problems, issues, or payer trends to managemento Review denial codes and update patient accountso Process and post virtual credit card payments received from facilities and insurance companies via merchant terminalo Retrieve ERAs for received payments from various web portalso Perform daily, monthly, and annual reconciliation of paymentso Request, log, and send out returned or refunded checks and adjust patient accounts as necessaryo Research and update Out of Period Posting discrepancies as neededo Other duties as assigned

Qualifications

Qualifications:o Must have a reliable attendance record.o The ability to work independently, accomplish goals, excellent communication skills, and flexibility.o Good Problem-Solving Skills with high degree of accuracy.o Performs a variety of tasks under minimum supervision in a moderately fast paced environment.o Able to utilize multiple systems.o Meet monthly closing deadlineso Knowledge of insurance payer guidelines and internal collection guidelineso Proficient in Excel and 10-keyo Able to perform mathematical computations quickly and accurately• Additional Position Expectations:o May be required to work extra hours to assist with EOD/EOM/EOY reconciliation, as needed

Responsibilities Duties: o Manually post high volumes of insurance; patient; and attorney payments and adjustments that are received via check; credit card; and EFT; o Post zero pay insurance denials and other electronic remits o Review payments to ensure proper reimbursement of claims and report any problems, issues, or payer trends to management o Review denial codes and update patient accounts o Process and post virtual credit card payments received from facilities and insurance companies via merchant terminal o Retrieve ERAs for received payments from various web portals o Perform daily, monthly, and annual reconciliation of payments o Request, log, and send out returned or refunded checks and adjust patient accounts as necessary o Research and update Out of Period Posting discrepancies as needed o Other duties as assigned



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