What are the responsibilities and job description for the Payment Posting Specialist position at Alliance Orthopedics?
Alliance Health System is looking for a full time Payment Posting Cash Application Specialist to join our rapidly expanding company.
In this Role, you will:
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Post and analyze insurance and patient payments to proper line items while validating correct payments are issued using appropriate fee schedules for reference.
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Have a strong understanding of Out-Of-Network benefits and how the reimbursements relate to CMS, UCR, Reasonable & Customary, NJ PIP and Fair Health fee schedules.
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Have a keen eye and ability to see trends in denials and payments to help close the gap with documentation and collections
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Retrieve insurance Remittance Advice notices and Explanation of Benefits for proper handling
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Be well spoken and articulate as this position requires a high volume of communication with insurances, legal offices, providers and patients as well as other staff.
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Be professional, enthusiastic, conscientious, and possess strong communication, organization, and problem-solving skills.
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Enjoy collaborating with patients, physicians, and other team members.
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Look forward to growing professionally with advancement opportunities.
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Be viewed by others as dependable, punctual and honest.
Experience & Education Requirements
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Required: 2 years medical payment posting experience in electronic and paper remittances for all payer types
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Required: Proficiency with electronic health records and other programs used in medical billing (ex. Navinet, Availity, and Payer Portals)
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Required: Strong understanding of insurance benefits (deductibles, co-insurances, copays, and out of pocket expenses)
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Required: Knowledge of CPT, ICD-10 codes, modifiers, and HIPAA
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Preferred: CareCloud experience
Benefits offered:
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Paid time off
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Health insurance
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Supplemental insurance - AFLAC
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Paid holidays
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401(k) matching
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Dental insurance
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Disability insurance
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Life insurance
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Vision insurance
Job Type: Full Time
Schedule: Monday to Friday
Work Location: One location/ Hybrid/ Remote
Background Check Requirement: Employment is contingent upon the successful completion of a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law