Insurance Pymnt Posting 1 MGBO

5000 Wellstar Medical Group, LLCAtlanta, GA
3d

About The Position

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. The Insurance Payment Poster 1 will support director and manager by posting MGBO insurance payments, reporting, and special projects. Provide support for team leads and peers. (i.e. PC functions, Excel, Word, imaging)

Requirements

  • High School Diploma General or GED General
  • Minimum 2 years work experience in cash applications. Required
  • Basic knowledge of medical terminology
  • Basic experience and knowledge of PC applications
  • Detailed-oriented, good organizational skills, and ability to be self-directed
  • Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere
  • Flexibility to perform other tasks as needed in an active work environment with changing work needs
  • High-level problem solving, analytical, and investigational skills
  • Excellent internal/external customer service skills
  • Excellent communication skills to include oral and written comprehension and expression
  • Ability to: learn quickly and meet continuous timeline, productivity, and QA standards exhibit behaviors consistent with principles of excellent service demonstrate and maintain competency as required for job title and the unit/area(s) of assignment\ exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency and financial responsibility, safety, partnership & service, teamwork, compassion, integrity, and trust & respect)

Responsibilities

  • Consistently meet the current productivity standards in posting insurance payments (as assigned)
  • Consistently meet the current quality standards in posting payments from insurance companies by posting received payments withing the performance metrics outlined by the department. (as assigned)
  • Meet productivity standards, targets, error ratios, and reporting requirements as assigned by the department manager or supervisor
  • Provide individual contribution to the overall team effort of achieving the department goals, initiatives and
  • Demonstrate proficient use of systems and execution of processes in all areas of responsibilities
  • Demonstrate knowledge of HIPAA privacy standards and ensure compliance with system PHI privacy practices
  • Follow the WellStar general Policies and Procedures, the Departments Policies and Procedures, and the Emergency Preparedness Procedures
  • Follow JCAHO and outside regulatory agencies mandated rules and procedures
  • Utilize assigned menus and pathways and work queues from within the current and legacy software applications to escalate problems to the appropriate supervisor
  • Utilize assigned menus and pathways in foreign software applications and report software application to escalate problems to the appropriate supervisor
  • Utilize assigned computer hardware and report hardware problems to the appropriate supervisor or service desk.
  • Participate in the testing for assigned software applications, including verification of field integrity
  • Perform other duties and responsibilities as assigned.
  • Posting of payments, adjustments, patient coinsurance, copays, & deductibles including all Reason codes as well as remarks codes as reported by the payor.
  • Responsible for resolving payments posted into unapplied cash accounts within 15 days
  • Posting of zero EOBs and use appropriate denial and remarks codes.
  • Posting of credit card payments received via mail/agencies/rejected WebPay transactions
  • Posting of payment transfers
  • Posting of vendor/agency payments
  • Posting of all bonus and incentive payments as assigned.
  • Maintain balancing and work log and crosstraining with other payment posting functions
  • Payment corrections/distributions, Payment Posting Reports and DPL paperwork are to be completed daily. The Productivity Report should be updated daily so that the Team Lead can verify the previous weeks activity regularly.
  • Assigned Insurance deposits ( EFT/Lockbox), agency deposits, and/or Zero EOBs unposted less than or equal to 1 business day.
  • Un-Distriuted cash monthly average of less than or equal to of 1.0 day of average cash collections
  • Report to work on time and as scheduled.
  • Attend staff meetings, in-services, and continuing education.
  • Assist with special projects as assigned.
  • Work closely with other staff, co-workers, peers, and other members of the healthcare team to ensure a positive and effective work environment.
  • Complete all required training by assigned due dates.
  • Maintain confidentiality in matters relating to patient/family.
  • Assure patient privacy and confidentiality as appropriate or required.
  • Initiate communication with peers about changes and procedures.
  • Relay information appropriately over telephone, email, and other communication devices.
  • Interact with internal customers including A/R Follow-up, Payment Variance, Charge Capture Claim Edits as well all all patient facing operational sites and our SBO customer support team.
  • Conduct yourself and communication in a professional manner at all times
  • Performs other duties as assigned
  • Complies with all WellStar Health System policies, standards of work, and code of conduct.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

1-10 employees

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