Job Summary:

Duties/Responsibilities:

• Maintain a positive ongoing relationship with franchises through regular email or phone contacts
• Works independently, prioritizes tasks, and aligns work with Vital Care goals.
• Works as a committed team play and displays Vital Care core values.

• Obtains remittance notification from internal applications, as well as external sources for timely posting of payment to patient accounts.
• Completed reconciliation process in accordance with company policies.
• Assists Information Technology in implementation of internal applications to support the posting department.
• Works with payers and/or Revenue Cycle team members to track payer recoupments through refunds and/or offsets.
• Maintains offset portal to ensure all items are loaded and tracked correctly
• Works with collection team to timely review recoupments on claims for timely follow-up
• Works well in a team environment to ensure all payment are posted to patient accounts in a timely manner.
• Analyze explanation of benefits to ensure adjustments and transfer are applied appropriately.
• Perform additional duties of similar complexity as assigned by Vital Care Leadership.
• Reviews all payer refunds for proper refunding processes within a timely manner.

Required Skills/Abilities:

• Excellent communications skills; listening, speaking, understanding, and writing English.
• Proven understanding of processes, systems, and techniques to ensure successful posting of an insurance explanation of benefits
• Proven ability to identify gaps and problems from review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
• Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
• Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.

Education and Experience

• High school diploma of equivalent
• 1-2 years of insurance posting experience preferred