Payment Posting Specialist

We are looking for a dependable, dedicated, and respectful person to join our team. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more!

The Payment Poster is responsible for posting, reconciling, and balancing daily payments, deposits, adjustments, and refunds and for maintaining “clean” patient accounts according to EOBs.

DUTIES AND RESPONSIBILITIES:

• Downloads ERA/EFT files from Clearinghouse and receives payments from various insurance carriers and patients.
• Accurately posts Medicare, Medicaid, Commercial Insurance and self-pay patient payments and adjustments according to current standards and contracts.
• Maintains “clean” accounts by posting payments, credits and adjustments to balances to respective patient accounts according to EOBs.
• Processes cash receipts, lockboxes, electronic remits, adjustments, write-offs, and reversals daily, as well as balancing batches.
• Reconciles payments posted to the original deposit amounts.
• Identifies, documents and reports any insurance payment discrepancies (over- or under-payments).
• Researches and corrects all transactions relating to unapplied cash and any other cashiering transactions.
• Generates secondary insurance carrier claims.
• Contacts payers and initiates requests for payment. Performs appropriate follow-up.
• Develops, maintains, and reconciles daily posting log.
• Manages and maintains overpaid and unapplied patient balances, patient refunds, and insurance takebacks.
• Handles patient phone calls regarding payments and balances.
• Other duties as assigned.

KNOWLEDGE:

• Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
• General knowledge of CPT, HCPCS and ICD-10 coding, and modifier usage
• In-depth understanding of explanation of benefits (EOBs)
• Understanding of FQHC billing procedures
• EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system
• Understand and adhere to all HIPAA guidelines
• MS Office Suite (Excel proficiency)
• Alpha-Numeric data entry

SKILLS AND ABILITIES:

• High School or Equivalent
• General accounting skills a plus
• 2 Years Payment Posting experience
• Attention to detail with strong documentation skills
• Ability to multi-task in a fast-paced environment
• Strong interpersonal written & verbal communication skills