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Payment Poster - Clearwater, United States - Advanced Urology Institute LLC
Description
Job Description
Job DescriptionDescription:The Payment Posting Specialist is responsible for accurate and timely posting of insurance and patient payments, reconciliation of bank deposits, and appropriate use of applicable adjustment codes. This includes the posting of both electronic and manual payments into the practice management system while resolving any electronic rejections
Payments will be entered into the practice management system in an efficient and timely manner determined by Revenue Cycle Management (RCM). They work with the Business Office Supervisor to escalate payment posting issues to prevent incorrectly posted payments
Responsibilities include but are not limited to: Posts payments both electronically and manually into the practice management system according to set standards and productivity measures (payments processed include live checks, electronic transfers, and credit cards)
Posts approved contractual adjustments, denials, write offs, and post reason codes for non-payment transactions
Moves applicable amounts to identified insurance carriers or patient liability per department financial policies and procedures
Verifies all monies have balanced to batch total upon batch completion
Identifies and corrects misapplied payments/adjustments
Reconciles EOBs and cash deposits to maintain appropriate allocation of cash receipts
Posts unapplied cash and investigate to determine appropriate account allocation
Assists the Supervisor in the creation and maintenance of daily/weekly/monthly cash deposit log
Identifies and communicates cash deposit trends to leadership
Reviews and audits refund requests as needed in accordance with management policies and procedures
Strives to maintain posting of cash within 24 hours of receipt to practice management system
Ensures payments are deposited and posted to patient accounts and reconciled before each month-end period ends
Communicates with Coders, Claim Readiness Specialist, and Business Office staff when necessary to resolve errors and clarify issues
Identifies process opportunity trends and recommend ways to improve efficiencies
Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement
Participates in special projects, personal development training, and cross training as instructed
Informs Supervisor of trends, inconsistencies, discrepancies for immediate resolution
Works in conjunction with peers and functional areas of the Business Office department for the betterment of completing tasks and the company overall
Performs other position related duties as assigned
Requirements:High School Diploma or equivalent required.
Minimum 2 years cash posting, billing or follow-up experience within a physician's office or medical environment
Experience in Urology physician practice environment preferred
Knowledge of medical terminology, healthcare coding systems, and clinics functions
Maintain a complete understanding of payment posting protocols and required software system
Develop and maintain a working knowledge of payer rules and guidelines
Track trends, inconsistencies, or discrepancies and resolve and/or escalate to a supervisor as appropriate
Ability to follow policies and procedures for compliance, medical billing, and coding
Ability to type and enter data with proficiency and accuracy
Proven ability to manage multiple projects at a time while paying strict attention to detail
Ability to successfully meet departmental deadlines
Knowledge of governmental regulations and compliance requirements
Knowledge of Medicare, Medicaid, managed care, and other third-party payer's guidelines
Excellent verbal and written communication skills
Excellent organizational skills and attention to detail
Strong analytical and problem-solving skills
Skill in using computer programs and applications including Microsoft Office
Complies with HIPAA regulations for patient confidentiality
Complies with all health and safety policies of the organization
