Medical Insurance Payment Posting Associate

Atlantic Vision Partners • Richmond, VA

23d

About The Position

As a Medical Insurance Payment Posting Associate, you are responsible for the timely and accurate posting of payments, denials, and adjustments. Responsible for reconciling each batch within each Practice Management system, performing required tasks, and utilizing various applications/tools such as Excel, Word, and 10-key calculator. Requires basic accounting mathematics. Meets all departmental performance standards.

Requirements

• High school diploma or equivalent
• 1-3 years of experience in a medical office environment is preferred
• Excellent judgment, dependability, and conscientiousness.
• Demonstrated high ethical standards and integrity.
• Demonstrated attention to detail.
• Demonstrated accuracy and thoroughness; monitors own work to ensure quality.
• Customer and patient service orientation: prompt response to patient needs and ability to manage difficult or emotional customer situations with tact, empathy and diplomacy.
• Ability to work cooperatively in group situations; offers assistance and support to coworkers, actively resolves conflicts, inspires trust of others, and treats patients and coworkers with respect.
• Patient centered care focused, and a team player.
• Handles multiple tasks effectively and efficiently and exhibits commitment to effective problem-solving techniques when issues arise.
• Continuously acts to maintain a safe, clean, healthy, and fun work environment consistent with AVP’s Mission and Vision.
• Arrives on time, ready to work, and demonstrates minimal absenteeism.
• Demonstrates effective problem-solving skills
• Knowledgeable of Medicare and Medicaid billing and reimbursement concepts and principles
• Willingness to submit to a background check

Nice To Haves

• 1-3 years of experience in a medical office environment is preferred

Responsibilities

• Opens batch and selects appropriate payment codes based on insurance/ insurance type. Verifies the registered carrier against the carrier making payment on the EOB.
• For personal or Credit Card payments received at the office, the Posting Administrator ensures charges are out to Patient Responsibility before posting the payment and selects appropriate payment code.
• Post Non-Paid EOB Batches for multiple payer types.
• Selects appropriate transaction message code for denied claims.
• Posts multiple denial transaction messages as needed.
• When charges are applied towards deductible, the Poster is required to transfer the deductible amount to Patient Responsibility. If participating payer, posts the contractual adjustment and reduces the balance to the PTR deductible.
• Posts individually submitted write-offs, payment transfers, refunds, reversals and recoveries as per policy.
• Assigned Poster reviews current balance in system before processing card to avoid duplicate processing.
• Enter payment information into credit card software and awaits bank acknowledgement of payments processed or declined. Returns all declines to collector or assistant to obtain new credit card information.
• Posts NSF’s and Chargebacks to the appropriate patient’s account, including the appropriate fee affiliated with the transaction
• Fully accountable for posting all payments and adjustments in accordance with monthly deadlines.
• Meets all departmental standards for posting productivity and quality.
• Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
• Any patient private health information (PHI) must not be divulged on any account except to payers that need information to process the claim for payment.
• Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
• Performs other job-related duties within the job scope as requested by RCM Supervisor, Manager, or Director
• Provides efficient and friendly customer service to all company Departments
• Maintains excellent rapport with all external vendors
• Always embodies the principles of the corporate Mission Statement and Philosophy.
• Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible.
• Conducts all business professionally, maintaining respect for individuals.
• Responsible for company-wide policies and procedures.
• Maintains constant awareness of potential safety hazards ensuring necessary safety precautions.
• Reads and complies with established policies and procedures.

Benefits

• medical
• dental
• vision
• a 401k plan
• long-term disability
• and life insurance
• Paid vacation and holidays (+ two floating holidays)
• Tuition reimbursement opportunities
• Referral bonus opportunities
• Discount on designer eyewear
• Paid certified accreditation program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees