Payment Poster At Park Ten

Memorial Hermann Surgery Center Park Ten

Job Summary: Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwarding appeals to the collectors, requesting refunds as needed, posting refunds in the PAS when processed, and entering approved account adjustments to accounts.

Essential Duties and Responsibilities: Include the following. Other duties may be assigned.

Payment Posting:

• Provides relief for the front business office, receptionist, and other business functions, as needed and is crossed trained to effectively perform other job descriptions.
• Transfers payments from one account to another at time of recoup.
• Mails refunds to patients and insurance companies.
• Posse’s strong knowledge in centers Managed Care contracts to accurately calculate insurance allowable.
• Applies all other overpayments to the account and sends a letter of overpayment to insurance company.
• Identifies any immediate refunds and requests them per our policy and procedures.
• Requests refunds when appropriate.
• Puts comments in the account for explanation of any discrepancies in payment.
• Posts insurance and patient payments into the PAS per our contract and the EOB.
• Posts refunds in PAS after BOM and Administrator have approved. Ensures all documentation is complete.
• Receives, screens, and routes incoming calls in a professional manner by the third ring...
• Adjusts accounts per our contract at time of payment when necessary.
• Maintains three batches per day, one for mail payments, one for over the counter payments and one for credit cards. Balances batches with BOM and deposit.
• Notifies the collector(s) of any appeals.

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Required Skills:

Qualification Requirements: To perform this job successfully, and individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or experience: High School education and/or equivalent; upto one year of related experience or training or equivalent combination of education and experience.

Language Skills: Ability to read and comprehend simple instructions, daily correspondence and memos. Ability to write simple correspondence. Ability to effectively present information in one on-one and small group situations to customers, clients, and other employees of the organization.

Reasoning Ability: Ability to apply common sense understanding to perform detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Physical Demands: The physical demands described here are representatives of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job the employee is regularly required to sit. The employee frequently is required to use both hands to finger, or feel objects, tools, or controls and reach with hands and arms. The employee is occasionally required to stand, walk, stoop, kneel, crouch or crawl, hear and talk. The employee must occasionally lift and/or move up to 10 pounds.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Acceptance of : I understand and accept this job description. I understand that it supersedes any previous job description. I further understand that future performance evaluations shall be based in large part on my meeting the tenets of this job description. The above statements reflect the general duties considered necessary to describe the principal function of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.