Payment Posting Specialist - Westchester, United States - Solaris Health (UroPartners and Urologic Specialists of Northwest Indiana )

Solaris Health (UroPartners and Urologic Specialists of Northwest Indiana )
Solaris Health (UroPartners and Urologic Specialists of Northwest Indiana )
Verified Company
Westchester, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description
:


Position Summary


The responsibilities include spotting and investigating details in insurance claims that may indicate insurance coverage abuse, fraud or unwarranted medical treatments or procedures.

This includes manual posting of insurance and patient payments.

Position reviews claims returned or rejected by government or supplemental insurance companies, and includes answering medical and customer inquiries regarding coverage.


Requirements:


_ Essential Duties and Responsibilities_

  • Efficiently posts patients' and insurance payments manually by processing and posting patients' credit cards or insurance information correctly.
  • Efficiently and adequately posts insurance refunds if necessary.
  • Monitors and posts import electronic remits, and thoroughly posts denials as well as clearly identifying what should be directed to the aging department for follow up.
  • Knowledgeable and capable in finding, understanding or entering information for financial reports or other various types of documents such as the ability to read and understand EOB's.
  • Possess the knowledge of understanding electronic remittance summaries, knowing how to balance dialing posting figures, and printing daily financial reports after completing a batch.
  • Proficient in client services by anticipating and responding to needs and demands of the client along with proficiency in contact with insurance carriers.
  • Accurately and in a timely manner, helps in the contribution to the distribution of mail via MedSpeed.
  • Other duties as assigned

Supervisory Requirements
This position has no supervisory requirements.


Educational & Experience Qualifications

  • Required
:

High school diploma or general education degree; or equivalent combination of education and experience.

  • At least 3 years' experience to successfully perform this job.

Additional Qualifications
To perform this job successfully, an individual should have the following general knowledge:


  • Great understanding and excellent knowledge of all billing processes.
  • Honest, ethical and compassionate behavior, takes responsibility for own actions and be forthright about errors or uncertainty, display flexibility, function effectively under stress, adapt to changing environment, and function as an active cooperative member of the revenue cycle team.
  • Proficient in tenkey, Microsoft Office programs including, but not limited to Outlook, Word and Excel.
  • Excellent in verbal skills when handling situations where information is being relayed to customers, clients or employees. Proficient in written communication and mathematical skills with accuracy and attentiveness.
  • Ensuring decisions are made based on policies, rules and organizational directives and solves emerging problems in a timely manner.

Qualifications
To perform this job successfully, an individual must be able to adequately perform each essential duty. 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.


Knowledge Requirements To perform the job successfully an individual should demonstrate the following competencies:


  • Communication
:

Using language as a flexible tool to share and collect information, exchanging ideas and openly exploring a variety of perspectives adjusting style and content to each unique individual, audience and circumstance.


  • Computer Use
:

Using computers and other forms of technology

  • Conflict Resolution
:

Facilitating the prevention and/or resolution of conflict while preserving working relationships.

  • Creative Thinking
:

Discovering new opportunities and solutions for problems by looking beyond current practices and using innovative thinking.

  • Decision Making/Decisiveness
:

Making and taking responsibility for, and demonstrating commitment to appropriate decisions in a timely manner. Ensuring that decisions are made based on policies, rules and organizational directives and solving the emerging problems.

  • Document Use
:

Finding, understanding or entering information (e.g. text, symbols, and numbers) in various types of documents, such as tables or forms.

  • Engagement
:

Mobilizing people, organizations and partners in developing goals, executing plans and delivering results. Laying the groundwork for success by building coalitions with key players and building momentum by communicating clearly and consistently. Using negotiation skills and adaptability to encourage recognition of joint concerns, collaboration and to influence the success of outcomes.

  • Innovation/Initiative
:

Using information from a variety of sources, identifying immediate action needed to address current issues, seizing the opportunity to enhance performance and advance horizontal/vertical goals.

Attending to imminent issues while maintaining an awareness of emerging opportunities.

  • Interpersonal Relations
:

Establishi
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