Posting and Reconciliation Specialist

Essential Accountabilities

• Analyze and interpret Explanation of Benefit (EOB) information, including copays, deductibles, coinsurance, contractual adjustments, and denials to verify correct patient balances.
• Post and reconcile payments received via ERA/EFT, EOB, and lockbox to patient and contract billing accounts with minimum 98% accuracy.
• Collaborate with internal teams and insurance carriers to establish and routinely monitor processes to ensure timely, accurate reporting of incoming payments.
• Absorb and communicate necessary corrections to Billing and Patient Financial Services teams as appropriate.
• Perform routine audits to ensure Accounts Receivable (A/R) days remain within threshold.

Department Specific Accountabilities

• Ability to work in detail-oriented environment with firm deadlines.
• Must be able to collaborate with internal peers and external contacts.
• Exercise independent judgement and problem-solving.

Organization Accountabilities

• Completion of HealthStreams education by designated due date.
• Attends required staff/department/organization’s meetings.
• Demonstrates strong, clear communication skills.
• Upholds the C.A.R.E. Values of McPherson Center for Health.
• Exhibits professionalism at all times.
• Maintains confidentiality as required by HIPPA regulations.
• Participates in the professional development of self and team members.

Qualifications

• Education: High School Diploma or Equivalency.
• Experience: Minimum of 1-2 years of medical payment posting and reconciliation and/or 2-4 years of relevant experience within Patient Financial Services.
• Licensure/Certifications: N/A.
• Skills: Working knowledge of medical billing, insurance carriers, and payment methodologies; Data entry and working knowledge of computers and various hardware/software (Outlook, Excel, Teams, copier/fax machine, calculator); Experience with Electronic Health Record systems; Ability to navigate clearinghouse and insurance portal websites; Ability to perform repetitive key strokes/data entry.