Medical Payment Poster - Temp

Planned Parenthood of Orange and San Bernardino Counties has a full-time temporary opportunity for a Medical Payment Poster in Anaheim, CA.

About the role

The Payment and Reconciliation Analyst at PPOSBC and Melody Women’s Health is responsible for reviewing, interpreting, and analyzing explanations of benefits (EOB) from insurance carriers to post appropriate payments, non-payments, adjustments, deductibles, copays, non-covered and denial transactions to open patient claims and refunding credits.

Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPOSBC locations and by all PPOSBC employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees.

Responsibilities

• Post all manual checks, ACH payments, and adjustments daily.
• Post all non-EDI payments, zero-pay EOBs, contractual allowances, denial codes, deductibles, and copayments.
• Post insurance payments, insurance supplement payments, and Prop 56 payments on the payment log.
• Ensure Capitation and Prop 56 RA (remittance advice) are attached to all payments.
• Post all payments within one day of receipt.
• Post all EC-OTC payments.
• Perform appropriate follow-up with payer for payment when in receipt of ERA.
• Pull EOBs from payer websites and other applications as needed.
• Run and post all credit card payments daily to the transaction in eCW.
• Research unidentified payments to determine appropriate resolution.
• Update and maintain all logs and spreadsheets used for reconciliation.
• Identify credit balances at the time of posting and submit a refund request for approval.
• Log patient refund requests on A/P patient reimbursement log and Vendor import log when submitting 10 or more patients within one week.
• Enter refunds in eCW in a timely manner.
• Identify payment trends and notify Manager.
• Other duties as assigned.

Requirements

• Minimum of 3 years’ recent experience in cash balance, cash posting, or cash applications.
• Intermediate Excel skills, including working with tables, filters, and multiple spreadsheets.
• Medical and insurance terminology essential.
• Strong data entry skills; ability to input a high volume of information.
• Must thrive in a fast-paced, rigorous environment with changing priorities.
• Ability to meet deadlines and work under pressure.
• High-level computer skills, including Microsoft Word, Excel, and Outlook.
• Electronic medical records experience may also be required.
• Strong commitment to quality healthcare and excellent customer service.

Qualifications

• High School Diploma (required). Associate’s or Bachelor’s Degree preferred or equivalent experience in a related field.

Core Competencies

• Welcoming: Anticipates customer requirements and gives high priority to customer satisfaction and service. Handles problems quickly and efficiently. Maintains a pleasant, positive, and professional approach. Embraces opportunities to help team members, stakeholders, and other departments.
• Equitable: Creates equitable access and opportunity for all through education, practicing inclusive behavior, elevating others’ voices, creating spaces for honest conversation, and listening without judgment. Values and uplifts our collective diversity within the agency.
• Confidential: Respects the information shared by patients, employees, and vendors and maintains appropriate confidentiality. Follows all policies and laws that protect private and privileged information.
• Accessible: Is available and approachable to others, open-minded, fair, and non-defensive. Appreciates constructive feedback and is a team player. Demonstrates good listening skills.
• Respectful: Values diversity and treats everyone with dignity and courtesy. Dependable and courteous of other people’s time and commitments.
• Empathetic: Demonstrates interest and understanding in other people’s feelings, attitudes, and reasoning. Maintains an open and non-judgmental demeanor that is patient, flexible, and understanding.

Physical Requirements

Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

Benefits

• Competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long-term disability.
• Benefits coverage starts after one full month of employment.
• Generous vacation, sick, and holiday benefits.
• Generous 401(k) matching contributions.

To view our detailed benefits guide, please visit our career site at www.pposbccareers.org.