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Revenue Posting Specialist
2 months ago
The Accounts Receivable Posting Specialist plays a crucial role in the financial operations of Albany Area Primary Health Care. This position is dedicated to the precise and timely posting of revenue across various payers, ensuring accuracy in daily and month-end financial processes.
Key Responsibilities- Review and accurately post payments from Medicare, Medicaid, Commercial insurers, and other entities.
- Examine self-pay claims to ensure proper processing.
- Provide support to facility managers in understanding payment applications to patient accounts.
- Conduct follow-ups with payers regarding missing explanations of benefits.
- Document follow-up actions taken on claims.
- Update patient demographic and insurance information in the Electronic Health Record (EHR) system as necessary.
- Stay informed about changes affecting all payers.
- Notify the Insurance Director regarding payers that are reimbursing according to the current fee schedule.
- Maintain awareness of managed care contracts negotiated by Albany Area Primary Health Care, including plan benefits and patient responsibilities.
- Review accounts to ensure that insurance adjustments are recorded accurately and promptly.
- Execute write-offs in accordance with financial policies and escalate account issues to the Insurance Director.
- Analyze claim denials and report trends to the Insurance Director.
- Request refunds in compliance with financial policies.
- Facilitate staff development by offering training and support related to insurance and demographic processes.
- Ensure consistent management of credit balances.
- Communicate with the Insurance Manager regarding potential claim denial issues due to coding.
- Oversee end-of-day information processing.
- Ensure all relevant documents are forwarded to accounting on a daily basis.
- Scan paper remittances into the EHR system.
- Assist the enrollment team in converting paper payments to electronic formats when permitted by the insurance provider.
- Perform additional duties as assigned.
Applicants should possess a solid understanding of medical business practices, insurance reimbursement processes, patient accounting systems, and data entry protocols. Attention to detail and accuracy are essential, along with the ability to interact professionally with the public while maintaining patient confidentiality.
Education and ExperienceRelevant educational background and experience in accounts receivable or related fields are preferred.
