Payment Poster - San Antonio, United States - Urology San Antonio

Description

JOB SUMMARY

This position is primarily responsible for posting payments from insurance payers and patients in a timely and accurate manner daily as assigned. Additionally, this position is responsible for posting denials and adjustments received through insurance payer media(s), 835 data files, EOBs, and correspondence.

DUTIES AND ESSENTIAL JOB FUNCTIONS

• Posts payments (including zero pays) received from third-party payers and patients through 835 electronic remittances, lockboxes, online payment portal, and patient payments received at time of service.
• Posts insurance adjustments to accounts receivable as documented from payers. Additionally, is responsible for posting administrative adjustments as approved by the Director(s) and Executive Director.
• Reviews accounts for accurate demographic, insurance, and financial information for billing and collection follow-up.
• Ensures appropriate financial class and payer codes are present on the accounts necessary to post payments/adjustments.
• Ensures patient payments are posted, batched for processing, and reconciled within three business days of receipt.
• Utilizes the practice management system to properly records denials necessary for tracking and collections follow-up.
• Reconciles and maintains accurate reporting of incoming payments from all media in accordance with practice protocols on a daily basis.
• Actively participates in CBO process improvement initiatives.
• Assures Patient Health Information (PHI) is always secure. Respects the confidentiality of information through one's employment.
• Promotes a positive image of the organization.

Other functions and Responsibilities

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

COMPETENCIES

• Patient & Customer Focus
• Ethical Conduct
• Flexibility
• Initiative
• Personal Effectiveness/Credibility
• Stress Management/Composure
• Ten-key by touch
• Basic computer literacy and keyboarding skills
• Knowledge of third-party payer reimbursement policies and protocols

QUALIFICATIONS

Required

• High School diploma or GED.
• Minimum of one year of revenue cycle-related experience and training. Or
• Equivalent combination of education and experience.
• Preferred Associate or bachelor's degree Analytical and problem-solving skills Bilingual (English/Spanish