Revenue Posting Specialist
1 week ago
The role of the Accounts Receivable Posting Specialist involves the accurate and timely posting of revenue across various payers. This position is crucial for ensuring proper financial processing on a daily and monthly basis.
Key Responsibilities- Review and post payments from Medicare, Medicaid, Commercial, and other payers.
- Evaluate all self-pay claims for accuracy.
- Assist facility managers in understanding payment postings related to patient accounts.
- Follow up with payers regarding any missing explanations of benefits.
- Document follow-up notes on claims as necessary.
- Update patient demographic and insurance information in the EHR system when required.
- Stay informed about changes affecting all payers.
- Notify the Insurance Director of payers reimbursing at 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 timely and accurate recording of insurance adjustments.
- Execute write-offs according to financial policies and report any account issues to the Insurance Director.
- Analyze claim denials and report trends to the Insurance Director.
- Request refunds in accordance with financial policies.
- Support facility staff development by providing training on insurance and demographic processes.
- Ensure consistent management of credit balances.
- Communicate with the Insurance Manager regarding potential claim denial issues due to coding.
- Oversee the close of day information.
- Ensure all relevant documents are sent to accounting on a daily basis.
- Scan paper remittances into the EHR system.
- Assist the enrollment team in converting paper payments to electronic payments when permitted by the insurance provider.
- Perform additional duties as assigned.
Successful candidates will possess:
- Knowledge of medical business operations, insurance reimbursement practices, patient accounting systems, and data entry procedures.
- Strong attention to detail and accuracy.
- Ability to engage with the public while maintaining patient confidentiality.
Relevant educational background and experience in a similar role are preferred.
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Revenue Posting Specialist
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