Description:
Job Summary:
The responsibility of the payment poster is to log and prepare payment batches from the bank for posters. Balance Insurance and Patient payments from Imagine to Bank.
Job Duties:
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Pull remits manually and electronically for deposits daily
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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
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Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management
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Researches and resolves unapplied and/or unidentified claim payments
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Identifies allowances, deductibles and co-insurance and ensures accurate posting
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Investigates all insurance recoupments to determine if they are correct or need to be appealed
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Runs electronic deposit reports and processes payments
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Run Credit Card payments for in house payment plans
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Review and interpret insurance carrier explanation of benefits (EOB)
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Code and post all receivables from insurance companies, and third-party payors on patient accounts
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Ability to efficiently manage multiple tasks and to prioritize workload
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Working closely with Supervisors on reversals of payments, adjustments, transfers, and refunds
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Work with management to research reimbursement and billing issues
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Adheres to Confidentiality and HIPAA Privacy and Security Policies and Procedures
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Performs other related duties as assigned.
Requirements:
- High School or Equivalent
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Minimum of 1-3 years’ experience in billing
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Ability to read Insurance EOBs
Skills and Abilities:
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Knowledge in Microsoft Excel
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Must be comfortable interacting with employees, medical staff, leadership and medical providers
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Must demonstrate strong analytical skills and proficiency with Microsoft office products
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Must have strong critical thinking skills
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Maintains effectiveness when experiencing major changes in work tasks or the work environment
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Ability to work independently without close supervision
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Ability to exercise judgement and make decisions
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Ability to perform in a high productivity, fast-paced environment
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Interpersonal skills and conflict resolution
