Payment and Reconciliation Specialist- HYBRID

Healthcare Outcomes Performance CompanyPhoenix, AZ
22h$18 - $20Hybrid

About The Position

Benefits : $18-20/hr. to start Competitive Health & Welfare Benefits Monthly $43 stipend to use toward ancillary benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program that is available 24/7 to provide support Employee Appreciation Days Employee Wellness Events About us: The Center for Orthopedic Research and Education , We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!? #1 for Orthopedic Practices #1 for Healthiest Healthcare Employers #3 for Best Healthcare Workplace Culture Winner in Best Places to Work

Requirements

  • A minimum of two years' experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

Nice To Haves

  • Prefer previous cash posting experience in a multiple lockbox environment.

Responsibilities

  • Has an understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.
  • Posting financial transactions through the use of automated systems and team processes.
  • Accurately interprets insurance explanation of benefits to ensure proper posting.
  • Retrieves and uploads 835 remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.
  • Participation in optimizing productivity within the area.
  • Maintains knowledge of the work area and optimizes the 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 refund requests by demonstrating an advanced understanding of the 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.

Benefits

  • $18-20/hr. to start
  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events
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