Payment Posting Specialist

Responsibilities

• Apply payments to appropriate accounts, such as: Workers Compensation; Patient/Private/ Group Health (Cash & Credit Card) and Employer/Contract Transfer payments to other Central Business Offices
• Apply Zero pay EOBs and appropriate reasons for Zero pay
• Ensure payments are recorded in an accurate and timely manner
• Manually post daily cash assignments
• Post cash and adjustments per remittance or Explanation of Benefit (EOB)
• Read and interpret EOBs, balancing, and resolving posting errors
• Balance daily posting against internal control totals
• Maintain unidentified cash, or payments received with no back-up
• Post 100% denials or short paid charges
• Post and balance payments received through the mail from patients, customers, and insurance companies
• Post all receipts ensuring the totals match the check total amount
• Close daily payments and batches
• Identify daily EOBs needing reconsideration
• Prepare and disburse all daily Reconsiderations to appropriate Carrier/TPA (CBOs who currently combine the duties of Cash Posting and Reconsideration process)
• Identify EOBs in need of Reconsideration, copy and distribute to appropriate department (CBOs who do not currently combine Cash Posting and Reconsideration process)
• Maintain Status Report (CBOs who currently combine the duties of Cash Posting and Reconsideration process)
• Identify incorrect payments and billing due to various changes (i.e., address change, pricing, etc.)
• Submit Employer/Contract changes for verification according to the customer service package
• Escalate issues preventing accurate cash application to leadership
• Apply appropriate Worker Compensation adjustments, Focus, First Health, CCN, Contractual, etc.
• Apply appropriate Employer (Contract) adjustments, Customer Service, Price etc.
• File monthly batches
• Ensure adjustment requests have proper supporting documentation

Qualifications

• High school diploma or GED equivalent
• Specialty training in medical billing and posting preferred
• Customarily has at least six months of demonstrated medical revenue cycle experience
• Job-Related Skills/Competencies:
  • Service Mentality
  • Attention to Detail
  • Sense of Urgency
  • Initiative and Flexibility
  • Customer Service Skills
  • Tact and Professionalism
  • Confidentiality and Security
  • Microsoft Excel, Outlook, Word
  • Effective Communication and Documentation
  • Time Management and Problem Solving
  • Decision Making and Training
  • Independent and Team Player
  • Multiple Tasks and Priorities