Medical Payment Poster

3 weeks ago

Anaheim, United States Planned Parenthood of Orange and San Bernardino Counties Full time

Additional Comp Info: Salary based on experience. Overview:
Planned Parenthood of Orange and San Bernardino Counties has a** full-time hybrid ( 2 days working remote 3 days in office ) opportunity for a **Medical Payment Poster **in Anaheim, CA.**

***The Payment and Reconciliation Analyst at PPOSBC and Melody Women’s Health is responsible for reviewing, interpreting, and analyzing explanations of benefits (EOB) from insurance carriers to post appropriate payments, non-payments, adjustments, deductibles, copays, non-covered and denial transactions to open patient claims and refunding credits.

At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including:

- A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability.
- Benefits coverage starts after one full month of employment
- Generous vacation, sick, and holiday benefits
- Generous 401(k) matching contributions and more

Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

**Minimum Education**:

- High School Diploma.
- Associate’s or Bachelor’s Degree preferred or equivalent experience in related field.

**Minimum Work Experience**:

- Intermediate Excel skills, including working with tables, filters, and multiple spreadsheets.
- Medical and Insurance terminology essential.

**Other Requirements**:

- Strong data entry skills; ability to input a high volume of information.
- Must thrive in a fast-paced, rigorous environment with changing priorities.
- Ability to meet deadlines and work under pressure.
- Must demonstrate high-level computer skills, including; Microsoft Word, Excel, and Outlook.

**Agency Standard Requirements**:

- Strong commitment to quality healthcare and excellent customer service is required.
- Must thrive in a fast-paced, rigorous environment with changing priorities.
- Ability to meet deadlines and work under pressure.
- Must demonstrate high-level computer skills, including; Microsoft Word, Excel, and Outlook. Electronic medical records experience may also be required.
- Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPOSBC locations and by all PPOSBC employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees.

**Responsibilities**:
Essential Functions: Essential functions encompass the required tasks, duties and responsibilities performed as part of the job and the reason the job exists.
- Post all manual checks, ACH payments, and adjustments daily.
- Post all non-EDI payments, zero-pay EOBs, contractual allowances, denial codes, deductibles, and copayments.
- Post insurance payments, insurance supplement payments, and Prop 56 payments on the payment log.
- Must ensure Capitation and Prop 56 RA (remittance advice) are attached to all payments.
- All payments must be posted within one day of receipt
- Post all EC-OTC payments.
- Performs appropriate follow-up with payer for payment when in receipt of ERA
- All credit card payments must run daily and posted to the transaction in eCW.
- Research unidentified payments to determine appropriate resolution.
- Update and maintain all logs and spreadsheets used for reconciliation.
- Identify credit balances at the time of posting and submit a refund request for approval.
- Patient refund requests must be logged on A/P patient reimbursement log and Vendor import log when submitting 10 or more patients within one week.
- Enter refunds in eCW in a timely manner.
- Identify payment trends and notify Manager.

Non-Essential Functions:

- Other duties as assigned.

**PHYSICAL REQUIREMENTS**:
The physical requirements of this position are identified below. Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

**CORE COMPETENCIES - WE CARE**:

- **
Welcoming**:Anticipates customer requirements and gives high priority to customer satisfaction and service. Handles problems quickly and efficiently. Maintains a pleasant, positive and professional approach. Embraces opportunities to help team members, stakeholders, and other departments.
- ** Equitable**: Creating equitable access and opportunity for all through education, practicing inclusive behavior, elevating others’ voices, creating spaces for honest conversation, and listening without judgment. Values and

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