Medical Billing Specialist

Position Summary

Responsible for posting line-item insurance payments and patient payments into the billing system according to the Explanation of Benefits or documentation received to support payment, posting of declines, charge corrections, and preparation of daily deposits and reconciliation/audit of posted transactions.

Duties

• Posts all payments and adjustments daily
• Posts and balances batches to totals
• Contacts payer and initiates request for payment
• Initiates refund of identified overpayments from insurance companies
• Performs appropriate follow-up with payer for payment
• Submits underpayments and overpayment information to appropriate Collector for follow-up
• Maintains accurate medical billing records, and documenting revenue from patient payments and insurance reimbursements
• Posting of cash, denials, contractuals, and patient due portions correctly and compliantly
• Ensures professional verbal and written communication with facilities, patients and co-workers following established guidelines
• Research and correct all transactions relating to unapplied cash and any other cashiering transactions needed
• Resolve all payments with missing Explanation of Benefits (EOB)
• Ensure line items adjustments are performed at time of payment
• Processing virtual credit cards from insurance companies and phone payments from patients.
• Payment poster provides relief to Admitting, Office Assistant, Insurance Verifier and Scheduling, and month end processing as required.

Qualifications for payment poster

• Demonstrates a high degree of accuracy and analytical skills
• 2+ yrs experience in medical cash posting and an understanding of the A/R cycle preferred
• Team player attitude, energetic, able to multi-task, with a focus on excellent customer service are key
• Must be a self-starter with strong organizational skills
• Demonstrates accountability, integrity, professionalism, receptive to change, creativity and innovation
• Minimum experience includes corresponding with patients and insurance companies in resolving patient accounts
• Knowledge in denial management, eob posting, contracts/fee schedules, daily/monthly bank and posting reconciliation for ambulatory surgery centers a plus
• Be familiar with HIPAA and PHI guidelines
• Demonstrate flexible and efficient time management and ability to prioritize workload
• Consistently reports to work on time and is prepared to perform duties of the position