Payment Poster

Essential Duties and Responsibilities

• Verify and write off any non-allowed charges billed to participating payers.
• Verify the patient responsibility
• Read and comprehend insurance company explanation of benefits
• Reconcile daily deposits to posted amounts; resolve discrepancies by appropriate department’s monthly deadline
• Post rejections from insurance companies
• Process refunds for all overpaid accounts, unidentified and misdirected payments
• Research in the imaging system and find the remits for the suspended payments
• Call insurance companies to obtain copies of remits for suspended payments
• Review and make corrections on the trainees’ batches as needed
• Look for the ERA files for the EFT payments and report the missing files to supervisor
• Identify the payor for the EFT payments and match them to the ERA files in the system, accurately
• Identify and report the discrepancies in the ERA files to the supervisor

Non-Essential Duties and Responsibilities

• Perform other duties as assigned

Qualifications

• Education/Licensing/Certification: High School graduate or equivalent
• Experience: Minimum of (1) one year of experience in 3rd party billing. (2) two years preferred. experience in a healthcare business office, specifically collections and/or payment posting, is required.
• Working knowledge of Excel and Word is required.
• Knowledge and Skills: Knowledge of organization policies, procedures and systems
• Good understanding of the revenue cycle
• Thorough understanding and working knowledge of payor contracts and payer reimbursement policies
• Strong analytical and problem-solving skills to identify trend and issues and ability to solutions to address issues
• Knowledge of contractual management practices
• Skill in computer applications including MS Word, MS Excel
• Basic knowledge of managed care programs and billing requirements necessary
• Analytical abilities required to identify and resolve underpayments relating to specific payers, coding issues, etc.
• Good mathematical skills a must.
• Skill in verbal and written communication
• Skill in gathering and reporting information
• Ability to work effectively with staff, physicians and external customers
• Must display teamwork attitude and good inter-personal skills
• Must have a pleasant disposition and high tolerance level
• Ability to work independently with limited supervision
• Familiarity with basic medical terminology and concepts required
• Knowledge of CPT, ICD-9, and ASA coding