MEDICAL BILLING & PAYMENT SPECIALIST

MedCentris•Hammond, LA

31d•Onsite

About The Position

Under the direction of the Assistant Director of Revenue Cycle – Revenue Recovery, the Medical Billing and Payment Specialist is responsible for accurately and timely posting of insurance payments, related contractual adjustments, and denials through electronic remit stations and/or manual posting methods.

Requirements

A minimum of a High School Diploma preferred and two years of Medical Billing and Collection experience.
Working knowledge of EOB’s, EFT’s, and ERA’s
Knowledge of managed care contracts, Medicare, Medicaid, workers comp, and private insurance carriers
Excellent attention to detail
Proficient use of Microsoft Office applications (Word, Excel, Outlook)
Outstanding interpersonal skills and great team player.
Must be able to work independently with a high degree of self-initiative.
Excellent problem-solving abilities.
Ability to work well under pressure and adapt to changes in project priorities.
Demonstrated understanding of medical terminology required.
Knowledge of patient confidentiality and HIPAA regulations
Knowledge of CPT, HCPCS, and ICD10 coding required.
Knowledge of medical billing and collection practices
Knowledge working with electronic health records (EHR/EMR) or healthcare related computer systems.
Practices efficient methods for getting work done; strong ability to prioritize workload.

Responsibilities

Posting miscellaneous payments, manual and electronic to patient accounts, through EFT (Electronic Funds Transfer), ERA (Electronic Remittance Advice), and any other payment methods utilized by the practice.
Exporting all 835 electronic payment files in preparation for posting.
Resolving any edits and reporting issues timely and accurately from all 835 payer files.
Posting all non-EDI payments, contractual allowances, rejection codes, deductibles, and copayments.
Obtaining missing ERA/835/EOB from payers via portal or telephone.
Researching unidentified payments and/or recoupments to determine appropriate resolution for proper posting.
Posting payments to practice management system (live checks within 24 hours, Online Credit Card payments the next business day, EFT deposits within 72 hours).
Recording batch totals with date and initials on payment receipt spreadsheet.
Balancing batches and running transaction reports.
Verifying all EFT deposits and scanned checks have been posted by month end.
Identifying credit balances at time of posting and correcting any erroneous mistakes.
Maintaining or exceeding established productivity goals and quality standards.
Accepting payments and processing current patient billing statements if needed.
Updating all spreadsheets with accurate information and running daily posting reports for balancing.
Performing all other duties as assigned.