Payment Specialist - TMG Billing (Days)

The payment posting team applies insurance payments to line item services for all TMG physician clinics. Must understand insurance details, CARC (Claim Adjustment Reason Codes), insurance correspondence, and secondary claims. Position must be proficient in posting Medicare, Medicaid and Commercial insurance payments for rural and non-rural clinics. Must possess a thorough understanding of payment posting and the explanation of benefits key date. Must ensure payments, allowances, adjustments, write-offs and recoupments are posted correctly with a 95% rate of accuracy within 48 hour turnaround time via ERA and manual posting procedures. Must possess thorough understanding of daily balancing procedures and work closely with Accounting to resolve discrepancies within a timely fashion.

Education

High School Diploma or GED

Experience

Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Qualifications

• Ability to organize, analyze and prioritize work load.
• Ability to work closely with others and function as a team number.
• Data entry experience preferred.
• Detail oriented.
• Knowledge of word processing and spreadsheets required. MS Word and MS Excel preferred.
• Must be proficient with a calculator.
• Must have two years experience in medical insurance billing and medical office business office functions.
• Strong verbal communication skills.
• Working knowledge of CPT & ICD Coding desired.