Payment Poster
Full job description
Job Description:
ANAI is seeking a self-motivated, people-friendly full time Patient Payment Poster.
Hourly: $25.00 - $30.00
Role Expectations:
- Adheres to standards of professionalism set by the Practice; demonstrates professionalism in behavior, dress, attendance, punctuality and courtesy towards patients and staff
- Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff members
- Functions as a member of a team and promotes a positive work attitude fostering teamwork and acceptance of management decisions
- Demonstrates good judgment in escalating difficult situations to Management
- Builds thorough understanding of group’s EMR and other software tools
- Supports management's goal of utilizing the electronic features of our computer system, as opposed to paper
- Participates actively in department meetings
- Follow work standards established for the team
Essential Knowledge & Responsibilities for 'Payment Poster' :
- Ensure all monies are posted accurately in EPIC utilizing proper 'Reason Codes'
- Post unapplied money to charges
- Knowledge of adjudication of insurance EOBs and patient responsibility
- Post payments received from mail, EFTs, as well as pulling and posting from insurance remits
- Complete batch logs and assist the Cash Control department with reconciliation of batches posted
- Review daily cash reports to ensure all assigned payments are posted properly
- Ensure batches are balanced
- Remain HIPAA compliant by scanning journals when needed then shredding copies of checks and credit cards daily
- Moving patient credits as requested by the front office
- Cross train and support team to ensure coverage
- Comply with all policies and procedures as well as make suggestions for improvement in processes
Requirements
- Must have experience with patient payment posting.
- Prior experience posting to EMR (EPIC preferred)
SUPERVISON RECEIVED: Reports to the Practice Administrator or Billing Manager
SUPERVISION EXERCISED: None
ESSENTIAL FUNCTIONS:
- Must be fluent in English, with the ability to read, write and speak.
· Must practice exceptional customer service skills with patients and work collaboratively with everyone you interact with.
· Maintains strictest confidentiality of ANAI business practices and adheres to HIPAA privacy rules for patients.
- Answers the billing phone line and provides patients with accurate billing and collections information.
- Collects, posts, and documents patient and insurance payments, EFT’s, and adjustments.
- Sets payment arrangements and prepare refunds when requested, according to ANAI’s process.
- Assists in processing monthly guarantor statements for all ANAI patients with outstanding accounts receivable.
- Follows up on submitted EDI claims and work clearinghouse rejection reports.
- Balances charge payment batches.
- Clearly understands EOB’s and what the particular standards include.
- Prints, reviews, and mails hard copy claims with appropriate EOB’s to appropriate payor.
- Reviews payment denials and claim rejections; researches and resubmits within established time frames.
- Determines and processes mid-level and multiple procedure reductions.
- Documents transactions to maintain adequate audit trail.
- Resolves misdirected payments and identifies adjustments, researches, and resolves billing exceptions, electronic claim rejections, financial audit rejections and suspended claims.
- Interprets and applies billing rules and regulations for government, commercial, and other payers. Follows ANAI policy regarding collection procedures for delinquent accounts.
- Updates account information when required, according to ANAI policy.
- Applies knowledge of ICD10-CM/CPT and other coding systems used for billing-related purposes.
- Participates in educational activities (webinars, newsletters, on-line training).
- Performs other duties as requested, which may be inclusive, but not listed in the job description.
PERFORMANCE REQUIREMENTS:
Knowledge, Skills, Abilities
- Knowledge of collection techniques and regulatory provisions, to include bankruptcy.
- Knowledge and proficient skill in our computerized practice management system, in addition to Microsoft Office, Word, Excel, Outlook, etc.
- Knowledge of insurance company procedures, including reimbursements, and EOB categories, and accurately determines primary, secondary, and tertiary coverage.
- Knowledge of medical billing practices and procedures.
- Knowledge of working an aging report.
- Knowledge of basic accounting and ability to perform mathematical computations with or without the aid of a calculator.
- Knowledge of legal and regulatory government provisions.
- Skill in gathering, analyzing, and interpreting information. Requires great attention to detail.
- Requires excellent key boarding skills.
- Skill in exercising initiative, judgment and decision making to achieve department objectives.
- Skill in oral and written communication.
- Ability to be highly efficient, organized, and accurate in all work.
- Ability to examine documents for accuracy and completeness, identifying problems along with recommended solutions.
- Demonstrate ability to multi-task; perform tasks within time frames assigned.
- Demonstrate schedule flexibility; adjust to shifting priorities; stay organized in a changing environment; stay focused during stressful or difficult situations; exhibit comfort with ambiguity.
Education:
High school diploma or equivalent required, some college or continuing education preferred.
Experience:
Minimum: Two years of experience with insurance eligibility and benefits required. EPIC EMR prior experience a preference.
Certificate/License: None
TYPICAL PHYSICAL DEMANDS: Requires prolonged sitting, some bending, stooping, and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Occasional stress from varying demands. Must be able to work independently. Must be able to lift/carry up to 25 pounds occasionally.
TYPICAL WORKING CONDITIONS: Work is performed indoors in a busy office environment. Frequent contact with employees, patients, physicians, and outside agencies.
Full time benefited position with excellent medical, dental & vision benefits, with very low bi-weekly premiums. Life & disability insurance is covered 100% by the practice. We also offer a flexible schedule of either a 5 8's shift or a 4 10's shift option after the introductory period is complete.
Hourly compensation is competitive and based on experience.
ANAI is an equal opportunity employer. All qualified applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
Job Type: Full-time
Pay: $25.00 - $30.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Education:
- High school or equivalent (Required)
Experience:
- medical billing and posting: 2 years (Required)
- Medical billing: 2 years (Required)
Location:
- Anchorage, AK 99508 (Required)
Work Location: In person
