Job Summary:

The Payment Posting Specialist is responsible for accurately posting all payments received from Insurance, Patients, and other ancillary departments into computer systems.

Supervisory Responsibilities:

• None.

Duties & Responsibilities:

• Follows BILLING SOP MANUAL protocols and guidelines for each payor.
• Enters and scans EOBs/denials/refunds requests.
• Enters hospital contract payments.
• Enters insurance payments: paper and EFT’s into USMON / Allscripts and allocates funds to the proper payment channel to ensure.
• Accurately posts payments and analyzes the EOB's to determine if it needs to be appealed or reprocessed for proper payment.
• Stays abreast of coding changes and updates to reimbursement guidelines per EOB explanations.
• Scans and uploads all correspondence into SharePoint regarding patient and insurance payments.
• Reconciles daily deposit batches in USMon/ Allscripts vs. banking deposits.
• Participates in monthly reconciliation.
• Keeps current spreadsheet for deposits, balancing against bank totals, including exception report
• Maintains spreadsheet for AR claim credit.
• Verifies if each claim was processed accurately, based on verification of benefits.
• Enters detailed notes for any claim that didn't process and pay accurately.
• Handles all medical record and billing record requests from third parties, including invoicing, posting payments, affidavits, and sending of MR.
• Handles all medical record requests from insurance, including invoicing if request is over 15 days of submitting claim, submits MR to insurance, and posts MR payment.
• Handles all refund requests from insurance, including researching the issue, determining if insurance is due back what they are requesting, and posting recoupments in USMON / All scripts.
• Handles all W-9 requests from insurance.
• Handles all individual case agreements / proposals.
• Performs other related duties as assigned.

Required Skills & Abilities:

• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with proven ability to meet deadlines.
• Excellent organizational skills with great attention to detail.
• Ability to keep information confidential.
• Ability to exercise integrity and discretion.
• Proficiency with basic accounting principles
• Proficient with Microsoft Office Suite or related software.

Education & Experience:

• High School Diploma or equivalent.
• Minimum one year of medical cash posting experience.

Physical Requirements:

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Job Type: Full-time

Pay: $42,000.00 - $45,000.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Office

Experience:

• Medical Cash Posting: 1 year (Required)

Ability to Commute:

• Richardson, TX (Required)

Ability to Relocate:

• Richardson, TX: Relocate before starting work (Required)

Work Location: In person