Position Description

Position Title: Payment Posting Specialist

Job Category: Administration

Job Description:

• Follow SOP protocols and guidelines for each payor. Follow written and verbal instructions from Payment Posting Manager.
• Accurately Post all payments, line item by line item. This includes paper checks, EFT/ACH deposits, and credit card payments. These can come from insurance companies, hospital facilities, or patient payments.
• Post detailed notes in patient account for all correspondence and payments.
• Accurately post all recoupments. Research correct patient account information if not provided.
• Inform AR Director of any refund requests by using Refund Request Logs.
• Upload all EOB’s and correspondence to patient account.
• Assist in compiling information for AR Scorecards by identifying AR Credit on all payments and correspondence.
• Stay abreast of coding changes and updates to reimbursement guidelines per EOB explanations, and inform AR Director and manager of trends or changes.
• Reconcile daily deposit batches in USMON vs. banking deposits.
• Participate in monthly, quarterly, and annual close out by reconciling USMON to the bank deposits.
• Keep up spreadsheet with exception report, detailing out what and why a payment is unable to be posted.
• Verify if each claim was processed accurately, based on verification of benefits. Add notes to AR team on next course of action.
• Track and inform manager of all ongoing missing information issues, especially pre-certs and verifications or claims errors.

Qualifications:

Education and Certifications:

• High School Diploma or GED

Knowledge, Skills and Abilities:

• Strong communication skills.
• Responsible and dependable.
• Organized and able to complete tasks with a deadline.
• Strong work ethic and flexibility required.
• The ability to provide encouragement and coaching to help others.
• Analytical skills experience and sound judgment to make decisions.
• Self-motivated problem-solver with professional demeanor.
• Must be able to seek assistance from Manager if delays arise to set deadlines.
• The ability to achieve cooperation and collaboration among team members.
• Demonstrate objectivity, professionalism, integrity and honesty in dealing with people at all levels and facilitates an open and honest environment.
• Basic office skills. Typing and 10-key skills are a must.
• Ability to use whatever tools and equipment is available to get the job done.
• Knowledgeable in multiple Microsoft OS’s, VOIP and MS Office Suite (Outlook, Excel, Word, PowerPoint).
• Self-motivated, the ability to work with little or no supervision.
• Strong communication skills, oral and written, over the phone and in person are essential; friendly helpful attitude.
• High level of knowledge on reimbursement guidelines as it pertains to an explanation of benefits to reconcile adverse payment determination as they are received.
• Possess a high level of medical accounting knowledge as it pertains to accurately post ALL payments, refunds, over pays, and deductions to patient’s accounts.
• Ability and knowledge to analyze payment to determine if payment is paid according to current protocols, guidelines, fee schedules, insurance benefits or any other means available.

Working Conditions:

• Regular work in an office setting

Physical Demands:

• Ability to lift a maximum of fifty (50) pounds.
• Ability to sit for long periods of time

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