Overview

Under general supervision, is responsible for posting both insurance and patient payments to the respective accounts. The payment poster works with patient account representatives to correctly input individual payments and adjustments for each location.

Responsibilities

CHARACTERISTIC JOB TASKS AND RESPONSIBILITIESMay include any and/or all of the following:1. Review, process, post, and balance batches when posting insurance and patient payments. Must be comfortable handling electronic funds transfers (EFTs), credit card information, and paper checks. Along with payments for electronic remittance advices (ERAs) and paper explanations of benefits (EOBs).2. Evaluate and post payments for denials, adjustments, and deductibles.3. Reconcile ERAs to daily deposit summary4. Assist patient account representatives to ensure proper posting to their accounts5. Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations6. Protects operations by keeping claims information confidential7. Updates job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations8. Accomplishes organization goals by accepting ownership for accomplishing new and different requests by exploring opportunities that add value to job accomplishments9. Performs other duties as assigned

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

MINIMUM QUALIFICATIONSEducation and experience equivalent to:• High school diploma or general education degree (GED)• A minimum of 2 year of medical insurance experience is required.• A minimum of 1 year of related experience and/or training in the fields of data entry and payment processing and posting is required.• Excellent computer and filing skills are required and strong working knowledge of Microsoft Excel is required.• Excellent typing proficiency and 10-key by touch is required

KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS• Verbal and written communication skills• Ability to respond to questions in a tactful and professional manner• Ability to manage time wisely and maintain organization• Ability to interpret accounts and records• Ability to document workflow• Understand anesthesia coding• Interpersonal/human relations skills• Customer service skills• Ability to maintain confidentiality and accuracy

COMMUNICATION• Provide information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person• Works with coworkers to obtain required information on a timely basis and to solve outstanding issues, as appropriate• Promotes and contributes positively to the teamwork of the department by assisting coworkers, contributing ideas and problem-solving with co-workers• Communicate with people outside the organization, representing LifeLinc, the public, government, and other external stakeholders• Attend meetings as needed

LANGUAGE SKILLS• Must be able to read and write English• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals• Ability to write routine reports and correspondence for the needs of the audience• Ability to effectively present information in one-on-one and small group situations to supervisors and other employees of the organization• Able to work in a team-oriented environment

MATHEMATICAL SKILLS• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals• Ability to compute rate, ratio, and percent

REASONING ABILITY• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form• Ability to recognize when something is wrong or is likely to go wrong and react accordingly to the situation

COMPUTER SKILLS• To perform this job successfully, an individual should have excellent computer literacy skills• Must be skilled in MS Word and Excel• Typing proficiency

HIPAA• Ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and hospital policy and procedure regarding confidentiality.• Complies with all information security practices.• Has knowledge of and adheres to all compliance regulations, policies, and procedures.• Takes required annual HIPAA compliance training.

PHYSICAL DEMANDSThe 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. While performing the duties of this job, the employee is regularly required to sit; use hands to type and use a computer mouse; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.