Payment and Reconciliation Specialist

The Core Institute • Royal Palm Beach, FL

92d

About The Position

Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise. Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy. As Center for Bone & Joint Surgery of the Palm Beaches continues to grow, we are looking for a Payment and Reconciliation Specialist.

Requirements

• Understanding of accounts receivable posting process for medical billing.
• Experience with financial transactions and automated systems in a medical billing context.
• Ability to interpret insurance explanation of benefits accurately.
• Experience in retrieving and uploading remittance files into patient account systems.
• Knowledge of Medicare and HIPAA guidelines.
• Strong communication skills to interact with physicians, staff, and other departments.

Responsibilities

• Has an understanding of accounts receivable posting process for medical billing including: charges, payments and adjustments.
• Posting financial transactions through use of the automated systems and team processes.
• Accurately interprets insurance explanation of benefits to ensure proper posting.
• Retrieves and uploads remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.
• Participation in optimizing productivity within area.
• Maintains knowledge of the work and optimizes use of available technology.
• Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff and patients.
• Accurately processes insurance and patient refunds requests by demonstrating an advanced understanding of coordination of benefits and eligibility requirements.
• Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.
• Processes and posts refund checks as received into the patient accounting system.
• Establishes and maintains effective communication with physicians, staff and other departments as required.
• Accepts and completes additional requests from the Cash Applications Supervisor.
• Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.
• Effectively forwards accounts requiring work up or resubmission to the business office staff.
• Generate and send patient statements.
• Handle patient billing inquiries in a courteous and professional manner.
• Set up and manage payment plans when necessary.
• Provide reports and updates to billing manager or administrator.
• Stay up to date on payer policies, coding changes, and billing regulations.
• Follow up on unpaid or denied claims promptly.
• Submit corrected claims and appeals as needed.

Benefits

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan with company match
• Employee Assistance Program that is available 24/7 to provide support
• Paid Time Off
• Holidays and more...

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed