Payments Reconciliation Specialist
3 weeks ago
United Vein & Vascular Centers is a rapidly growing national healthcare organization specializing in state-of-the-art, minimally invasive surgical vein and vascular treatments. With numerous clinics across Florida, Georgia, Colorado, Arizona, and Illinois, we have positively impacted the lives of thousands of patients. Our team of dedicated physicians and staff work together to deliver exceptional care, utilizing the latest technology and cutting-edge techniques. Join our growing team as we continue to revolutionize the industry and transform lives
Responsibilities:
The Payment Reconciliation Specialist is responsible for applying payments, adjustments and refunds to patient accounts and using various reports to coordinate benefits for insurance payments.
Processing patient and insurance payments and applying appropriate and accurate adjustments to patient accounts.
Evaluating EOB's to identify claims paid incorrectly that may require an appeal for reduced payment or CPT denial.
Evaluating EOB's to identify claims that may need research by an A/R Representative for possible error in claim submission or claim denial.
Identify and correct posting errors and credits.
Ensuring batch reports are balanced and reconciled appropriately.
Running End of Month reports to ensure that all batches total accurately in accordance with all spreadsheets and deposits.
Process and post patient and insurance refunds.
Demonstrate and promote a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.
Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.
Other duties as assigned.
Qualifications:
HS Diploma or GED required.
2+ years relevant payment posting experience.
Familiarity with the medical insurance claims process.
Proficiency with MS Office, specifically Excel and Word.
Ability to multi-task in a fast-paced environment.
Team player who also works well independently.
eCW experience a plus.
We Offer:
Competitive compensation package
Health, vision and dental benefits
401K plan
Life insurance (100% company paid)
PTO and paid holidays
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