Payment and Reconciliation Specialist- Hybrid

About the role

The Center for Orthopedic Research and Education is seeking a Medical Billing Specialist to join our dynamic team. Ranked by Ranking Arizona as one of the best businesses and healthiest employers, we are dedicated to providing exceptional care and fostering a positive workplace culture.

Responsibilities

• Posting financial transactions through the use of automated systems and team processes.
• Accurately interprets insurance explanation of benefits to ensure proper posting.
• Retrieves and uploads 835 remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.
• Participates in optimizing productivity within the area.
• Maintains knowledge of the work area and optimizes the use of available technology.
• Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.
• Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.
• Processes and posts refund checks as received into the patient accounting system.
• Accepts and completes additional requests from the Cash Applications Supervisor.
• Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.
• Effectively forwards accounts requiring work up or resubmission to the business office staff.

Requirements

• A minimum of two years' experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
• Prioritize previous cash posting experience in a multiple lockbox environment.
• Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

Qualifications

• Understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.

Skills

• Advanced understanding of insurance coordination of benefits and eligibility requirements.
• Effective communication skills.
• Ability to establish and maintain good working relationships with internal and external customers.

Benefits

• Competitive Health & Welfare Benefits.
• Monthly $43 stipend to use toward ancillary benefits.
• HSA with qualifying HDHP plans with company match.
• 401k plan after 6 months of service with company match (Part-time employees included).
• Employee Assistance Program that is available 24/7 to provide support.
• Employee Appreciation Days.
• Employee Wellness Events.

Pay

Compensation is commensurate with experience.

Schedule

Full-time position.