Medical Payment Posting Specialist

Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status, or any other legally protected status.

Job Summary:

Ensures that all payments received, either patient or insurance, are posted in a timely manner. Forwards any unpaid claims/claim lines to a clinic biller for reconsideration/appeal. Closes each day’s business by balancing all payment batches. Completes closing report and deposit which are forwarded to accounting department for recording. Scans all back up documentation for each day’s receipts into electronic file cabinet.

Essential Functions:

• Responsible for opening each day through uploading electronic remits as well as printing and distributing I-claims to the billing specialist to work.
• Responsible for accessing the insurance carrier portals and printing remits for posting.
• Responsible for posting and monitoring payments from patients and third-party payers, to include auto-posting and manual posting.
• Responsible for analyzing payments and forwarding any unpaid, underpaid claims/lines to the billing specialist for review and correction/appeal.
• Responsible for monitoring and posting of any payment arrangements that are through post-dated checks or credit cards. Making sure to contact the patient if the credit card will not process. (held payments)
• Posting all return checks and contacting the patient to make arrangements for taking care of the NSF check as well as the appropriate fee.
• Responsible for posting all refunds as well as mailing refunds.
• Responsible for monthly patient statements.
• Working the Unassigned Payment Analysis Report monthly. (prior to statements going out)
• Responsible for daily balance, deposit and close of day.
• Daily scanning of all posting.
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  Other duties as assigned by Administration.
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  Assist co-workers as needed.
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  Recognize when others are in need of assistance, information or directions and offers to help when able, or find someone who can.
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  Responsible for neatness of work area to include stocking and cleaning. Be productive when faced with any “down time” during work hours.
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  Maintain emotional control and diplomacy at all times.
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  Maintain open and positive lines of communication.
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  Consistently report to work on time, begins work promptly and perform duties for entire scheduled shift.
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  Maintain absenteeism within company policy.
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  Notify Administration of absences and tardiness in a timely manner.
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  Read new policies and documents as instructed.
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  Adhere to company policies and procedures.
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  Demonstrate sensible and efficient use of equipment and supplies by limiting waste, spoilage or damage.

Qualifications:

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  A High School Diploma or GED required.
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  A combination of six to twelve months of directly related payment posting experience.

Physical Requirements:

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  Ability to work effectively in a fast-paced environment.
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  Physical ability to sit, perform data entry and view computer screen for long periods at a time.
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  Occasional exposure to communicable diseases and biohazards.
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  Daily standing, walking, bending, and maneuvering.
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  May require lifting up to 50 pounds or more to transfer and/or turn patient with and without assistive devices.

Travel:
Travel may be required.

Scheduled Working Hours:
Normal work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday and 8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending upon the needs of the position, department, and clinic.

Other Duties:

Please note this job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change from time to time, with or without notice.

Equipment Operated:

Standard office equipment including: computers, printers, faxes, copiers, postage machine, etc.