Underpayments and Payment Posting Specialist Iii

4 weeks ago

Yonkers, United States 61st Street Service Corp Full time

**Job Summary**:
The Underpayments and Payment Posting Specialist III is responsible for the evaluating payments posted for contracted plans compared to published fee schedules with a focus on underpayments and overpayments. The Specialist performs duties and job responsibilities in a fashion which coincides with the service management philosophy of the Columbia University College of Physicians & Surgeons including the demonstration of the basics of service excellence toward patients, visitors, staff, peers, physicians and other departments.

**Responsibilities**:

- Review credit balance to determine cause of overpayment and correct if necessary.
- Review under/overpayments, prepare Experian Excel spreadsheet and summarize findings.
- Submit findings to Payment Posting Manger and participate in meetings/conference calls with Contracting/CRO staff to discuss issues.
- Track reprocessing of project file payment errors.
- Correct payment postings and resubmit claims as needed.
- Process credit card payments and post self-pay time of service or prepayments.
- Post contractual allowances.
- Dispute recoupment if deemed a payer error.
- Resolve double debits.
- Review overpaid accounts and process adjustments transactions as needed.
- Collaborate with revenue cycle vendor to support the accurate posting of Anesthesia payments.
- Investigate and resolve payment/denial issues.
- Initiate and support secondary and tertiary billing.
- Review and resolve unidentified cash.
- Act as a first point of escalation and monitor supervisory or secondary work queues.
- Assists with training support of new hires.
- Perform other duties as assigned.

**Job Requirements**:

- High school graduate or GED certificate is required.
- A minimum of 3 years’ data entry experience in a physician billing or third-party payor environment.
- Ability to work independently and mentor other peers.
- Experience in Epic and or other of electronic billing systems is preferred.
- Knowledge of ICD-9 and CPT-4 coding, and medical terminology is preferred.
- Previous experience in an academic healthcare setting is preferred.

**Hourly Rate Ranges: $26.44 - $32.69**

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.

**61st Street Service Corporation**

At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

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