RCM Posting Associate

Job description – RCM Posting Associate

Details:

Location: BGC, Taguig

Night Shift (9p-6a PHST), Hybrid - 2 days WFH, 3 days onsite for the first two months onsite.

SUMMARY

The RCM Posting Associate is responsible for accurately capturing and applying remittance details, processing customer payments, and managing cash collections. This function is essential for maintaining the integrity of the Daily Cash Ledger and ensuring that cash postings are accurately reflected in client accounts. Activities covered includes clean claim submission, AR follow-up, collection and management of medical accounts, daily balancing controls, reporting, and completing month end and audit activities. This position will be responsible for assisting on multiple state projects for various insurance carriers.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Payment Posting:
  Accurately post payments, adjustments, and denials from insurance companies, patients, and third-party payers into the billing system within the designated time frames.
• Reconciliation
  : Perform daily, weekly and monthly balancing of payments through reconciliation processes. This is includes maintaining and updating current month cash spreadsheets and unapplied payments tracking to ensure all payments are accurately recorded and accounted for.
• Batch Balancing
  : Balance and verify payment batches and ensure alignment with bank deposits, unapplied and provider level balance activities.
• Discrepancy and Error Resolution
  : Investigate and resolve payment discrepancies and errors promptly, working with other team members or departments as needed.
• Compliance
  : Ensuring adherence to compliance with HIPAA and other regulatory requirements, and payer-specific guidelines.
• Reporting
  : Generate reports on payment activity and identify trends or issues.
• Communication and Collaboration
  : Maintain clear communication with team members, other departments, insurance companies and patients involved in the revenue cycle to ensure a smooth and efficient process and resolve payment related issues.
• Process Improvement
  : Identify and recommend improvements to enhance efficiency in payment posting workflows.
• EOB Interpretation
  : Accurately interpreting explanation of benefits (EOBs) from various insurance payers.
• Refunds
  : Review and process patient and payer refunds accurately and in a timely manner, ensuring proper documentation and system support.
• Credit Card processing
  : Accurately process and post credit card transactions, ensuring compliance with security standards, upholding the payment card industry data security standards.
• Special Projects
  : Participate in special assignments and projects as needed.
• All other projects and duties as assigned for RCM Cash Posting team

REQUIRED EDUCATION AND/OR EXPERIENCE

• Bachelor's degree in Accounting, Finance, or related field.
• Up to two years of experience to the end-to-end US Healthcare Revenue Cycle Management process, with emphasis on cash posting preferred.

QUALIFICATIONS

• Language Skills

Ability to read, analyze, and interpret complex documents.Ability to communicate effectively verbally and in writing with wide groups of directors. Ability to make effective presentations.

• Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

ADDITIONAL ELIGIBILITY QUALIFICATIONS

• Microsoft Office suite (Excel, Word, Outlook)
• Proficiency with Practice Management Software (such as Avatar, Catalyst, PCMS, Therap, Rethink) and other platforms used in Revenue Cycle Management (e.g., Ability/Inovalon, Netsmart) is preferred
• Organizational skills
• Customer Service skills
• Interpersonal Skills
• Critical Thinking skills
• Communication skills
• Investigative Skills