MEDNAX has grown from a single medical practice to a trusted health solutions partner with more than 10,000 employees and a presence in 50 states. Through our family of companies, we provide:
physician services spanning the continuum of patient care
revenue cycle management solutions
performance improvement consulting
We invite you to grow with us and help shape the future of health care.
The Medical Payment Posting Administrator is responsible for extensive reviewing EOB's and ensuring that all high volume incoming payments, allowances, adjustments, denials/rejections and etc. are posted accurately and in a timely manner. Reconciles high dollar amount receivables posted according to departmental operational procedures to ensure daily balances of amounts posted. Coordinates, processes, and audits accounts to determine posting errors and takes corrective action to ensure account accuracy and the ability to meet daily/weekly/monthly deadlines.
A minimum of two years of high volume Healthcare/Managed Care cash application experience is preferred in order to ensure success in this role. Strong customer service, as well as written and verbal communication (including telephonic) skills are also vital to this function. Availability to work overtime, as needed, is essential. PC skills are required as well as intermediate to advanced knowledge of MS Excel and Word software applications.
Prioritizes daily work and assesses backlog situations, making adjustments as needed;
Reconciles cash/contractual balances, assuring the reliability and accuracy of the daily bank balancing procedures and variances daily
Identifies, researches, and ensures timely processing of payments and error corrections, ensuring appropriate documentation of payments, allowances, denial, rejections, etc. are recorded on individual accounts;
Reconciles daily batch posting to actual entry in order to identify and reconcile any discrepancies, ensuring that payment posting functions are accurate and performed on a timely basis;
Maintains thorough knowledge of third party payment applications, requirements, and regulatory guidelines at the federal, state, and local levels;
Meets all monthly and year end fiscal closing deadlines as they relate to the cash application process;
Meets or exceeds departmental productivity standards on a consistent basis;
Serves as a member of the Cash Posting (Management/Dept/Coding/Data Entry/etc.) Team. Performs duties necessary to ensure the team’s projects/goals are completed.
Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed.
Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. Takes ownership of special projects, researches data and follows through with detailed action plans. Meets or exceeds short and long term goals and objectives as established for the work unit;
Ensures compliance with all regulatory, company and departmental and HR policies and procedures;
Maintain strict confidentiality in accordance with HIPAA regulations and Company policy, including divulging any patient private health information (PHI) only on a need-to-know basis to payers requiring the information for claims payment processing.
Performs other duties as assigned, required or requested.
Associate's degree (A.A.) or equivalent from a two-year college or technical school; or one-to-two years related experience and/or training; or equivalent combination of education and experience.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to effectively present information and respond to questions from managers, clients, customers, and the general public. Ability to write reports and business correspondence.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts and percentages. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Understanding of medical terminology and protocols.
MEDNAX IS AN Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status