Job Description
Job DescriptionJob Summary:
The RCM Payment Poster is responsible for all aspects of the collections and payment posting process. Responsibilities include documenting account activity, accurately posting adjustments and payments, reconciling the electronic funds transfer (EFTs), reporting collector payments and managing the electronic remittance advice and insurance correspondences. This person would also be responsible for identifying and reporting payment/collection trends or issues.
Job Responsibilities:
- Accurately and efficiently post insurance, attorney, patient, and post-collection payments received from insurance carriers, patients, and collection agencies to the appropriate accounts in the practice management system.
- Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment, adjustment, and denial codes.
- Identify incomplete information necessary to post remittance and take the necessary steps to resolve questions, inconsistencies, or missing data.
- Ensure electronic deposits match payment totals.
- Ensure payment batches match bank deposits.
- Accurately move balances to patient responsibility and ensuring prompt patient billing.
- Identify line-item denials for medical necessity, non-covered services, and prior authorization issues.
- While processing write-offs and adjustments, investigate unusual contractual adjustments.
- Perform an audit at the close of each day to ensure all activities from the lock box are balanced.
- Electronic posting reconciliations and conduct reviews of entries to be proactive to any errors.
- Ensure all pending and variance items are resolved within designated time frames.
- Maintain the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA regulations.
- Meets and exceeds quality standards.
- Attends and participates in team meetings.
- Work miscellaneous projects and tasks on an as needed basis.
- Additional duties as assigned.
Job Qualifications:
- High school diploma or equivalent required.
- Minimum of one (1) year medical insurance/healthcare payment posting experience with an understanding of medical billing rules and regulations.
- Well versed in CPT and ICD10 codes and procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, and insurance benefits.
- Solid understanding of billing software eCW experience preferred.
- Demonstrate ability to use PC, Microsoft Office (including Word, Excel, Outlook, and Teams).
- Must be detail-oriented and organized with good analytical and problem-solving ability.
- Ability to function independently and as a team player in a fast past environment.
- Must have strong written and verbal communication skills.
BENEFITS
- Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
- FSA and Life Assistance Program (EAP)
- 401(k) Retirement Plan
- Health Advocacy, Travel Assistance, and My Secure Advantage
- PTO Accrual and Holidays
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