Medical Payment Poster

General Summary: Handles all payments received via Electronic Remittance and paper payments received in the mail. Investigates all credits for patients and insurances.
Essential Job Responsibilities:
• Post payments and adjustments to patient accounts from all insurance payers – ERA and paper communication
• Post patient payments received at the front office as well as in the mail
• Import all electronic payment files into current billing system from multiple sources
• Review all remittance advices for accuracy to identify errors or questionable data
• Research and resolve unapplied/unidentified cash receipts
• Reconciles payments and shortages for all batches
• Scan any items as backup as necessary
• Complete daily deposit and reconciliation between billing and front office and find errors when the report does not balance
• Process patient and insurance refund requests in a timely manner
• Investigates all insurance recoupments to determine if they are correct or need to be appealed
• Review all accounts with negative balances to determine if a refund is due to the patient or insurance.
• Other projects and duties as assigned.

Education:

• High school diploma or equivalent.

Experience: Two years required:

• Previous billing or payment posting experience
• Ability to utilize basic functions in Microsoft Excel
• Professional verbal and written communication skills.
• Strong interpersonal skills with the ability to work effectively with a range of personality types.
• Strong attention to detail and accuracy in daily work and other projects.
• Ability to be a team player & a participating member in a cooperative work environment.
• Ability to organize, prioritize and manage various work assignments in a fast paced, high volume environment.
• Ability to meet communicated schedules and deadlines
• Adherence to policies, procedures and instructions

Other Requirements: Two years required experience

Performance Requirements:

Knowledge:

1. Knowledge of how to read an explanation of benefits.

2. Knowledge of reimbursement policies.

3. Knowledge of health care field and medical office protocols/procedures.

4. Knowledge of HIPAA Privacy and Security rules.

Skills:

1. Skill in establishing and maintaining effective internal and external working relationships.

2. Skill in verbal and written communication with patients, physicians and staff.

3. Skill in accuracy and detail with respect to demographics data and medical information.

4. Skill in tact and diplomacy in interpersonal interactions.

Abilities:

1. Ability to work in a team based environment that places patient satisfaction as the primary focus for measuring success.

2. Ability to read, interpret and apply policies and procedures.

3. Ability to multitask and handle various priorities in a flexible, rapidly changing environment.

4. Ability to effectively articulate information and respond to questions.

5. Ability to relate to and work well with a diverse community population.

6. Ability to work under pressure.

7. Ability to work cooperatively with other department staff.

8. Ability to project a pleasant and professional image.

9. Ability to plan, prioritize, and complete delegated tasks in an appropriate timeframe.

10. Ability to demonstrate compassion and caring in dealing with others.

11. Ability to set priorities amon