Payment Posting Representative
2 days ago
Responsibilities:
Post payments and correspondence received from patients and insurance carriers for assigned centers.
Assess insurance carrier explanation of benefits (EOBs) for in and out of network services to identify correct payment allocations or denial reasons.
Post adjustments, transfers, and refunds based on contractual agreements.
Post zero payment remits, offset remits, and retractions.
Review all items classified as unidentifiable and resolve through contacting the payers and posting to the appropriate account.
Balance 100% to Deposit Log and Software Application. Locate Variances and correct as soon as possible.
Review and resolve credit balance accounts through refunds, retraction request, or adjustments.
Upload Daily Patient Statements to Clearinghouse.
Take incoming patient calls to resolve outstanding balances.
Identify and report payer trend issues to manager.
Provide coverage for team members as assigned.
Additional duties as assigned.
Requirements:
2+ years of ASC revenue cycle or orthopedic payment posting or collections experience.
Ability to read and interpret insurance explanations of benefits and managed care contracts.
The ability to communicate effectively, both verbally and in writing, with internal and external clients.
Knowledge or experience working with a variety of health care insurance payers is preferred
Intermediate computer proficiency in Microsoft Office including Excel and Outlook
Advantx, Vision, HST experience preferred.
High School Diploma or equivalent.
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