Medical Billing -Payment Poster/Charge poster and Insurance recovery experience required

Orthopaedic Associates Medical Clinic • Visalia, CA

2d • Onsite

About The Position

Orthopaedic Associates is seeking an experienced Medical Billing Payment Poster/Charge Poster with insurance recovery experience for a busy orthopedic group. The role involves overseeing the intake of payments, processing billing statements, and conducting audits for each billing cycle. The ideal candidate will be knowledgeable in medical codes to determine payment amounts and insurance coverage, post payments to the applicable system, and maintain Explanation of Review records. Responsibilities also include obtaining necessary documentation, maintaining records of PPO discount names and rates, sorting and routing correspondence, and communicating effectively with claims administrators and adjusters to ensure timely payment of claims. The position requires maintaining positive working relationships with various stakeholders, reviewing payment records for accuracy, documenting all correspondences and phone conversations related to claims and payments, and working assigned tasks within billing systems. Compliance with HIPAA policies and procedures is essential, as is assisting with billing-related projects under the direction of the Billing and Collections Manager.

Requirements

• 2 years of full-time experience as a Medical Billing Payment Poster/Charge Poster with Insurance recovery exp.
• Knowledgeable in medical codes to determine how much is owed and whether any outside insurance covers part or all of their balance.
• Excellent grammar and spelling
• Competent use of computer systems
• Strong patient service and interpersonal skills
• Excellent organizational and time management skills
• Excellent work ethics and ability to treat documents with confidentiality
• Ability to work well in a team environment while being able to prioritize, accept feedback, and manage conflict in a reasonable fashion
• Ability to multi-task efficiently in a fast-paced environment
• Experience with medical terminologies, diagnostic procedures
• Strong communication and customer service skills
• Ability to learn quickly and work under pressure in a fast-paced environment
• Minimum two years full-time clinical experience in a healthcare facility in medical billing and payment posting/charge posting insurance recovery exp.

Nice To Haves

• DME experience a plus
• Bilingual a plus
• Orthopedic experience a big plus

Responsibilities

• Post payments to applicable system and maintains Explanation of Review records as necessary
• Obtain Explanation of Review documentation and proof of payment records as necessary
• Maintain a record of PPO discount names and rates
• Sort correspondences and other letters and routes to the most appropriate recipients as applicable
• Communicate effectively with claims administrators and adjusters to submit necessary documentation for payment of claims
• Maintain positive working relationships with claims administrators, adjusters, clients and other key stakeholders
• Review payment records and performs audits to determine payment processing accuracy and gaps
• Responsible for documenting all correspondences and phone conversations regarding medical claims and payments
• Works various assigned tasks in billing systems
• Comply with applicable HIPAA policies and procedures
• Assist with assigned projects that pertain to billing under the direction of the Billing and Collections Manager
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees