Payment Posting Representative

3 days ago

Quezon City, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time

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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