Description

JOB SUMMARY: Responsible for posting insurance and personal payments/denials via the Enterprise Payment Posting module or PB Remittance Run Module ensuring all payment errors are cleared. Responsible for working the credit work queues for self-pay undistributed, copay undistributed, clearing account, and insurance undistributed. Responsible for working the follow-up paid claims with a balance work queue. Must communicate with the insurance company regarding EOB clarification. 

DUTIES & RESPONSIBILITIES:

1. Responsible for collecting mail from the mail room and distributing to proper Business Office staff.
2. Posts insurance/personal payments as assigned according to assigned payers and/or directed by the Payment Posting Team Leader. This includes communicating with the insurance company regarding EOB discrepancies.
3. Communicates with the accounting department regarding daily deposits. Also completes the daily recap sheet for mail payments as well as EFT payments. Prepares checks to send to the accounting department.
4. Responsible for distributing payments contained in the self-pay undistributed, copay undistributed, clearing account, and insurance undistributed work queues.
5. Responsible for working the follow-up paid claims with a balance work queue for remittance posting errors and communicating with the IT Department for resolution.
6. Files daily business office batches and correspondence, and maintains the filing system of said batches and correspondence.
7. Performs other office duties as assigned.
8. May be exposed to hazardous drugs.
9. Attends OSHA training upon initial employee orientation and annually completes an OSHA competency.

RELATIONSHIP WITH OTHERS: Must work effectively with fellow team members and Business Office staff as well as insurance companies.

Requirements

EDUCATION/EXPERIENCE/KNOWLEDGE: Graduated from High School or completed GED requirements. .

PHYSICAL REQUIREMENTS: Requires sitting, standing, bending, and reaching. May require lifting up to 20 pounds. Requires manual dexterity sufficient to operate office equipment such as computer, fax, calculator, and telephone. Requires normal hearing and vision.