Medical Billing Payment Poster

Classification: Nonexempt 

Type: Fulltime, normal working days and hours are Monday-Friday 8 a.m.-5p.m.

Summary/Objective: Provides efficient timely and accurate posting of electronic and receipts, denials and adjustments to patient accounts for medical payment posting.

Essential Functions: 

• Completes payment entry in a timely and accurate manner.
• Communicates and documents payment denials in the practice management system and to the appropriate billing representative in a timely manner.
• Monitors payment trends and identifies any payments not being paid at the allowed/contracted amount and communicates this to the Business Office Manager.
• Understands and remains educated on current insurance remittances (EOBs) including deductibles, contractual write-offs, recoupments, refunds, interest payments and posting them efficiently and accurately.
• Ensures that the amounts posted match the batch report total and troubleshoot as necessary.
• Ensures compliance of all agencies’ requirements and coordinate audit requests as needed.
• Provides assistance to team members and other staff with questions regarding EOBs and/or remittance statements.
• Presents problems to team with a solution-based approach.
• Maintains strictest confidentiality within compliance with HIPAA rules and regulations.
• Attend and participate in meetings as necessary.
• Act with integrity, honesty, and truthfulness in all areas of work.
• Maintain strictest confidentiality and uphold aspects of work that need to remain private.
• Carry out work duties and responsibilities competently and in a timely manner.
• Other duties as assigned.

Education: GED or High School Diploma required

Experience: Minimum 3 years of experience as a medical office payment poster. Minimum 1 year experience with electronic payment posting of EFTs.

Competencies:

• Comprehensive understanding of how to process paper and electronic medical claims
• Knowledge of medical billing/insurance practices
• Knowledge of multiple billing computer software
• Demonstrated understanding of medical terminology required
• Knowledge of patient confidentiality and HIPAA regulations
• Knowledge of CPT, HCPCS, and ICD10 coding required
• Understands Insurance regulations as they apply to the job functions
• Knowledge working with electronic health records (EHR/EMR) or healthcare related computer systems
• Organized; sets priorities; meets deadlines
• Ability to work independently
• A positive attitude
• Strong team player

Travel:

No travel is required.

Work Environment:

This job operates in a clerical, office setting within a confined cubical area. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

This is largely a sedentary role (sitting 8-9 hours per day); however, some filing is required. This would require the ability to lift files (up to 20 lbs.), open filing cabinets and bend or stand on a stool as necessary. This role requiresof motion, dexterity,coordination.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working condition may change as needs evolve at any time with or without notice.

Education: GED or High School Diploma required

Experience: Minimum 3 years of experience as a medical office payment poster. Minimum 1 year experience with electronic payment posting of EFTs.