Medical Billing and Payment Posting Specialist
Community HealthNet is seeking a detail-oriented and focused Medical Billing and Payment Posting Specialist. The Medical Billing & Payment Posting Specialist essential duties include organization and time management skills, knowledge of medical billing and payment applications, adjustments and transfer to next responsible party to quickly and efficiently resolve account balances. Roles may be customized to focus on pertinent tasks assigned and collections activities but also requires flexibility in work assignments and support of other functions within the revenue cycle process.
ESSENTIAL JOB FUNCTIONS
Monitor aging to ensure timely resolution of claims, reduction of future denials, ensuring accurate payment posting of accounts receivables and escalation of issues to management as identified
Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims and report any problems, issues, or payer trends to management
Audit insurance denial to resolve claims timely. Ability to analyze accounts and determine next appropriate action
Work with payers and/or payer portals to determine reasons for denials and correct and reprocess claims for reimbursement in a timely manner
Conduct insurance verification and reverification as needed through various tools when patients register for physician appointments
Process third party payer correspondence, payments, refunds, and adjustments
Accurately and thoroughly document the pertinent collection activities in appropriate systems
Work as a liaison with all outside collection vendors to resolve claims
Respond to all patient inquiries timely and resolve patient concerns
Remain up to date on payer informational notices and changes
Comply with all policies, practices, and procedures
Maintains patient and confidentiality in accordance with HIPAA guidelines
Adequate math skills for calculating accurate billing and collection data, and balancing patient accounts for proper payment allocation and payment posting
SUPERVISORY RESPONSIBILITIES:
This position has no supervisory responsibilities
THE FOLLOWING QUALIFICATIONS ARE NECESSARY
High School Diploma or GED
Associate degree or equivalent preferred; minimum 2 years related experience; or equivalent combination of education and experience
Organizational skills
Good troubleshooting skills
Strong attention to detail
Proficient with Word, Excel, Outlook
Proficient in Medical Terminology
Proficient in the use of a calculator and computer required
Payment posting of patient copayments, coinsurance and patient balances for collections activities, reviews accounts of overpayments for refunds due to patient or insurance carrier
Scan documents for patient registration, accountability of correspondence, and records retrieval
EPIC Care billing System Work Queues, use, reporting, analysis and findings to ensure proper claims submission to insurance carriers
Ability to work at desk, computer, EPIC Practice Management software, Microsoft office suite, multiple-line telephone system, copier, scanner, and fax machine
Benefit Conditions:
Waiting period may apply
Benefits:
Health insurance
Dental insurance
Vision insurance
Retirement plan
Paid time off
Sick time off
Schedule:
Monday to Friday
8 hour shift
This position works on-site from one location.
Job Type: Full-time
Pay: From $18.00 per hour
Expected hours: No more than 40 per week
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Education:
High school or equivalent (Preferred)
Experience:
billing: 2 years (Preferred)
medical billing: 2 years (Preferred)
Ability to Commute:
Merrillville, IN (Preferred)
Work Location: In person
Apply Now
ESSENTIAL JOB FUNCTIONS
Monitor aging to ensure timely resolution of claims, reduction of future denials, ensuring accurate payment posting of accounts receivables and escalation of issues to management as identified
Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims and report any problems, issues, or payer trends to management
Audit insurance denial to resolve claims timely. Ability to analyze accounts and determine next appropriate action
Work with payers and/or payer portals to determine reasons for denials and correct and reprocess claims for reimbursement in a timely manner
Conduct insurance verification and reverification as needed through various tools when patients register for physician appointments
Process third party payer correspondence, payments, refunds, and adjustments
Accurately and thoroughly document the pertinent collection activities in appropriate systems
Work as a liaison with all outside collection vendors to resolve claims
Respond to all patient inquiries timely and resolve patient concerns
Remain up to date on payer informational notices and changes
Comply with all policies, practices, and procedures
Maintains patient and confidentiality in accordance with HIPAA guidelines
Adequate math skills for calculating accurate billing and collection data, and balancing patient accounts for proper payment allocation and payment posting
SUPERVISORY RESPONSIBILITIES:
This position has no supervisory responsibilities
THE FOLLOWING QUALIFICATIONS ARE NECESSARY
High School Diploma or GED
Associate degree or equivalent preferred; minimum 2 years related experience; or equivalent combination of education and experience
Organizational skills
Good troubleshooting skills
Strong attention to detail
Proficient with Word, Excel, Outlook
Proficient in Medical Terminology
Proficient in the use of a calculator and computer required
Payment posting of patient copayments, coinsurance and patient balances for collections activities, reviews accounts of overpayments for refunds due to patient or insurance carrier
Scan documents for patient registration, accountability of correspondence, and records retrieval
EPIC Care billing System Work Queues, use, reporting, analysis and findings to ensure proper claims submission to insurance carriers
Ability to work at desk, computer, EPIC Practice Management software, Microsoft office suite, multiple-line telephone system, copier, scanner, and fax machine
Benefit Conditions:
Waiting period may apply
Benefits:
Health insurance
Dental insurance
Vision insurance
Retirement plan
Paid time off
Sick time off
Schedule:
Monday to Friday
8 hour shift
This position works on-site from one location.
Job Type: Full-time
Pay: From $18.00 per hour
Expected hours: No more than 40 per week
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Education:
High school or equivalent (Preferred)
Experience:
billing: 2 years (Preferred)
medical billing: 2 years (Preferred)
Ability to Commute:
Merrillville, IN (Preferred)
Work Location: In person
Apply Now