Medical Insurance Claims Processor

6 days ago


Richmond Heights, Virginia, United States Atlantic Vision Partners Full time
Job Overview

We are seeking a highly skilled Medical Insurance Payment Posting Associate to join our team at Atlantic Vision Partners. As a key member of our operations, you will be responsible for ensuring the accurate and timely posting of payments, denials, and adjustments in our Practice Management systems.

This is a challenging and rewarding role that requires attention to detail, strong analytical skills, and excellent communication abilities. If you have experience working in a medical office environment and are looking for a new opportunity to grow your career, we encourage you to apply.

About the Role
  • You will be responsible for reconciling each batch within our Practice Management system, performing required tasks, and utilizing various applications/tools such as Excel, Word, and 10-key calculator.
  • You will need to select appropriate payment codes based on insurance/insurance type and verify the registered carrier against the carrier making payment on the EOB.
  • You will post non-paid EOB batches for multiple payer types and select appropriate transaction message codes for denied claims.
Responsibilities
  1. Open batch and selects appropriate payment codes based on insurance/insurance type. Verifies the registered carrier against the carrier making payment on the EOB.
  2. For personal or Credit Card payments received at the office, the Posting Administrator ensures charges are out to Patient Responsibility before posting the payment and selects appropriate payment code.
  3. Post non-paid EOB batches for multiple payer types.
  4. Selects appropriate transaction message code for denied claims.
  5. Posts multiple denial transaction messages as needed.
  6. When charges are applied towards deductible, the Poster is required to transfer the deductible amount to Patient Responsibility. If participating payer, posts the contractual adjustment and reduces the balance to the PTR deductible.
  7. Posts individually submitted write-offs, payment transfers, refunds, reversals and recoveries as per policy.
  8. Assigned Poster reviews current balance in system before processing card to avoid duplicate processing.
  9. Enter payment information into credit card software and awaits bank acknowledgement of payments processed or declined. Returns all declines to collector or assistant to obtain new credit card information.
  10. Posts NSF's and Chargebacks to the appropriate patient's account, including the appropriate fee affiliated with the transaction.
  11. Fully accountable for posting all payments and adjustments in accordance with monthly deadlines.
  12. Meets all departmental standards for posting productivity and quality.
  13. Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
  14. Any patient private health information (PHI) must not be divulged on any account except to payers that need information to process the claim for payment.


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