Payment Poster

USPI Texas Orthopedic Surgery Center in Austin — 5 OR rooms and 1 Procedure room performing outpatient orthopedic surgical procedures. Job ID: #USP-123

About the role

Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwarding appeals to the collectors, requesting refunds as needed, posting refunds in the PAS when processed, and entering approved account adjustments to accounts.

Responsibilities

• Posts insurance and patient payments into the PAS per contract and the EOB
• Possesses strong knowledge in center's Managed Care contracts to accurately calculate insurance allowable
• Puts comments in the account for explanation of any discrepancies in payment
• Notifies the collector(s) of any appeals
• Identifies any immediate refunds and requests them per policy and procedures
• Applies all other overpayments to the account and sends a letter of overpayment to insurance company
• Requests refunds when appropriate
• Posts refunds in PAS after BOM and Administrator have approved
• Ensures all documentation is complete
• Mails refunds to patients and insurance companies
• Transfers payments from one account to another at time of recoup
• Adjusts accounts per contract at time of payment when necessary
• Maintains three batches per day: one for mail payments, one for over-the-counter payments, and one for credit cards
• Balances batches with BOM and deposit
• Receives, screens, and routes incoming calls in a professional manner by the third ring
• Provides relief for the front business office, receptionist, and other business functions as needed; cross-trained to effectively perform other job descriptions

Requirements

• High school diploma or equivalent required
• Minimum of 2 years of patient account billing or payment posting experience

Schedule

Weekdays only — no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.