Description The Payment Posting Rep is responsible for the timely and accurate posting of payments, denials and adjustments. Accurate and detailed posting of EOB payment from the insurance companies and patient checks and credit card payments to the patient account. Serve as the primary subject matter expert in regard to payment posting and problem solving and provide the best outcomes for our organization and our patients.
Responsibilities
Daily posting of payments in the Practice Management System.
Conducts audits and prepares payment reports.
Pulls EOB's and other correspondence from various Insurance Websites and other entities.
Posts denials and rejections to patient accounts.
The ability to post a high volume of electronic payments with attention to detail.
The ability to resolve edits or errors related to electronic payments
Transfers copay/coinsurance and deductible balances to patient responsibility.
Posts contractual adjustments to patient accounts.
Posts insurance payments using the Explanation of Benefits (EOBS) against appropriate line item service and enter adjustments as indicated.
Posts EFT's (Electronic Funds Transfer), IDT's (Inter-Departmental Transfers), Virtual Credit Cards and any other online payments.
May perform Payment Audits as directed by management.
Helps conduct audits and reconciliation with other staff members and management.
Ensures posted payments are reconciled on a daily basis and sent to Cash Management.
Print IDT's and reconcile monthly.
Collaborates across teams to help assist with locating payments and/or verifying payments
Balances monthly transactions and provide summaries to upper management.
Performs other duties as assigned.
Qualifications
Ten Key Proficiency
Type minimum of 35 wpm
Ability to read and understand EOBs
Working knowledge of EOBs, EFTs and Virtual Credit Cards
Excel skills which may include pivot tables, recording data and formula functions
Attention to detail and the ability to work independently
Excellent verbal and written skills
Must be detailed oriented, have strong accounting skills and the ability to multi-task
Excellent customer service and communication skills are required
Must have intermediate Experience with M/S office product including Word, Excel, Outlook
Computer skills to operate the Practice Management System
Knowledge of Medical Billing, Insurance Carriers and Federal Programs
Excellent organizational skills and ability to multitask
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