MAIN JOB DUTIES AND RESPONSIBILITIES
- Electronically post insurance payments/adjustments to patient accounts
- Submit secondary claims with supporting documentation (primary explanation of benefits)
- Manually post patient payments and secondary insurance payments to patient accounts, adjust balances accordingly and/or submit statement to patients for any balances
- Review denied claims and if quick resolution is possible, correct and resubmit as necessary
- Contact payors to obtain EOBs or payment information
- Daily balancing and cash posting auditing
- Identify short/overpays and notify Cycle & Billing Processor of inaccurate payments
- Work zero pays and denials and forward to appropriate revenue cycle teams for corrections
- Continually keep abreast of technology changes, payer specific billing changes, and medical practice standards through ongoing training and self-directed research
- Verify patient insurance information using online tools and or communication with the patient
- Update patient insurance information as necessary to complete insurance claims in practice management system (Allscripts)
- Update patient demographics/registration information as necessary
- Notate patient accounts as to status of outstanding claims/balances
- Record, maintain and monitor recoupment requests made by insurance companies
- Request patient refunds as needed
- Provide backup for other reimbursement specialist
- Knowledge of government payor programs and insurance EOBs
- Audit cash posting to identify and communicate trends to minimize posting errors
- Complete OB-Contract & Payment Agreements
- Perform other duties as required
Additional Job Functions/Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Education, Experience and Credentialing Required Qualifications:
- High school degree or equivalency
- 1-2 years of medical practice cash posting, collections, or billing (primary care and OB/GYN) required. 3 years preferred.
- Proficiency in using Microsoft Word and Excel
Supervision/Managerial
- Must be able to work independently and prioritize with minimal direction.
Personal Qualifications
- Must be reliable and dependable with attendance.
- Ability to multi-task in a fast-paced environment.
- Ability to maintain confidentiality.
- Appropriate attire according to company policy.
- Attentive to safety and security issues
- Demonstrates cultural competence with patients and staff.
- Open to continuous learning to build effectiveness.
Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Sitting, standing, walking for much of the day
- Manual dexterity
- Lifting up to 30 pounds (may exceed this amount at times in emergency patient situations)
- Bending and reaching
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
Work Location: In person