Payment Poster & Collector Specialist

About the role

The Payment Poster & Collector Specialist is responsible for posting all payments received from patients, insurance companies and third parties and will document payments into the patient accounting system and will assist with the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies is accurate and timely.

Responsibilities

• Pull remits manually and electronically for deposits daily.
• Accurately post payments and/or denials via ERA, EFT, and paper remits appropriately to accounts and balance payments posted back to the original deposit amounts.
• Verify insurance payment is in alignment with payor contract by reviewing the contract status log and EOB received.
• Maintain and balance cash log daily to treasury.
• Research and resolve unapplied and/or unidentified cash receipts.
• Identify allowances, deductibles and co-insurance and ensure accurate posting.
• Scan and upload supporting documentation as needed.
• Investigate all insurance recoupments to determine if they are correct or need to be appealed.
• Run electronic deposit reports and process payments.
• Review and interpret insurance carrier explanation of benefits (EOB) to post appropriate payment and denial codes.
• Code and post all receivables from insurance companies, and third-party payors on patient accounts.
• Assist to resolve credit balances with insurance company & patients.
• Understand payor requirements and special requirements.
• Verify appropriate revenue codes, CPT codes and modifiers.
• Can read and understand an EOB.
• Take the necessary action for account resolution in accordance with established federal and state regulations.
• Identify next steps required when a claim has been denied/rejected.

Requirements

• A minimum of one (1) years of payment posting experience in a healthcare setting is required. Hospital experience highly preferred.
• Working knowledge and understanding of insurance rules and regulations is needed.
• Basic familiarity with MS Excel.

Qualifications

• High school graduate or equivalent preferred.

Skills

• Excellent communication skills and a professional demeanor is needed.
• Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast paced environment.
• Quickly learn the patient accounting MedHost software system, Hospital Clearinghouse, and effectively update Excel spreadsheets.

Benefits

• 401(k) + matching
• Health insurance
• Vision insurance
• Dental insurance
• Paid time off
• Cafeteria on site + discounted meals
• Employee engagement events
• Employee assistance program
• Employee recognition program
• Free parking

Pay

This is a full-time position, and the expected compensation range for this role is $23.00 - $26.00 hourly, plus a monthly bonus opportunity.

Schedule

On-site only - no remote