Payment Posting Specialist - Fully Remote!

Payment Posting Specialist

Why You Should Apply to this Payment Posting Specialist

• If you want a career path, they promote from within. However, if you're happy with the current role, that is fine too!
• You'll be able to work fully remote from 8-5 in your time zone.
• Work with a collaborative team that is cross trained. If you have an influx of work and need assistance, your team has your back.
• The hiring Manager has been with the company for 7 years. She is a phenomenal leader who is open to new ideas.
• This is with a high growth organization that is process driven. They currently have 158 practices in 17 states, spanning across the full spectrum of dermatology, skin cancer care, cosmetics, plastic surgery, and pathology with continued plans to expand further across the nation

Responsibilities of the Payment Posting Specialist:

• Processes patient refund requests and manages refund register.
• Research and resolve insurance overpayments and credits.
• Proactively engages other operational personnel to review and resolve issues as needed.
• Contact patients, insurance or third-party administrators when clarification of information is needed to successfully post payment.
• Provides professional assistance for patient billing calls.
• Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
• Adheres to Code of Conduct and Mission & Value Statement.
• The Payment Posting Specialist will work on recoupment accounts to resolution.
• The Payment Posting Specialist completes posting of all payments and adjustments at the patient account level in a timely and accurate manner, balancing to the bank deposit daily.
• The Payment Posting Specialist will meet productivity requirements as established by organization and external benchmarks.
• Assists with monthly close functions including month end balancing.
• Review all remittance advices for accuracy to identify errors or questionable data. Manages time to complete work in timely manner and be a team player.
• Keep up-to-date with current with payer guidelines and reimbursement policies (basic knowledge).
• Call, chat, email insurances to resolve payments/offset questions
• Check websites for additional information to resolve payments/offset issues

Required Skills and Qualifications of the Payment Posting Specialist:

• Must be located in one of the following states: AL, AZ, DE, FL, GA, IL, IN, MA, MD, MI, MN, MS, NC, NE, NJ, OH, OK, PA, SC, TN, TX, UT, VA, VT, WI, or WV.
• Knowledge of medical practice and care.
• Ability to read and understand Explanation of Benefits is crucial
• Must have working knowledge of excel spreadsheets.
• Must be highly professional in appearance, tone and delivery and an effective communicator.
• Must be team-oriented and have demonstrated skills in working in a team environment.
• Must have general knowledge in posting recoupments and reversals.
• Dedicated to follow-thru and results.
• Knowledge of third-party billing and collection requirements to include Medicare, Medicaid and Managed care.
  • Must have general knowledge in posting recoupments and reversals.
  • Must have working knowledge of excel spreadsheets.
  • Must be located in one of the following states: AL, AZ, DE, FL, GA, IL, IN, MA, MD, MI, MN, MS, NC, NE, NJ, OH, OK, PA, SC, TN, TX, UT, VA, VT, WI, or WV.

EDUCATION AND/OR EXPERIENCE REQUIREMENTS:

* High school graduate or GED. (All)

* 1-3 years of Payment Posting in a Medical Setting.

* Experience with Accounting, EFT /ERA setup is a plus.