Underpayments and Payment Posting Specialist Iii - Yonkers, United States - 61st Street Service Corp

Mark Lane

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Mark Lane

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Description

Job Summary:


The Underpayments and Payment Posting Specialist III is responsible for the evaluating payments posted for contracted plans compared to published fee schedules with a focus on underpayments and overpayments.

The Specialist performs duties and job responsibilities in a fashion which coincides with the service management philosophy of the Columbia University College of Physicians & Surgeons including the demonstration of the basics of service excellence toward patients, visitors, staff, peers, physicians and other departments.


Responsibilities:


  • Review credit balance to determine cause of overpayment and correct if necessary.
  • Review under/overpayments, prepare Experian Excel spreadsheet and summarize findings.
  • Submit findings to Payment Posting Manger and participate in meetings/conference calls with Contracting/CRO staff to discuss issues.
  • Track reprocessing of project file payment errors.
  • Correct payment postings and resubmit claims as needed.
  • Process credit card payments and post selfpay time of service or prepayments.
  • Post contractual allowances.
  • Dispute recoupment if deemed a payer error.
  • Resolve double debits.
  • Review overpaid accounts and process adjustments transactions as needed.
  • Collaborate with revenue cycle vendor to support the accurate posting of Anesthesia payments.
  • Investigate and resolve payment/denial issues.
  • Initiate and support secondary and tertiary billing.
  • Review and resolve unidentified cash.
  • Act as a first point of escalation and monitor supervisory or secondary work queues.
  • Assists with training support of new hires.
  • Perform other duties as assigned.

Job Requirements:


  • High school graduate or GED certificate is required.
  • A minimum of 3 years' data entry experience in a physician billing or thirdparty payor environment.
  • Ability to work independently and mentor other peers.
  • Experience in Epic and or other of electronic billing systems is preferred.
  • Knowledge of ICD9 and CPT4 coding, and medical terminology is preferred.
  • Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges:
$ $32.69


Note:

Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.


61st Street Service Corporation


At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees.

The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.


We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.


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