Payment Poster & Collector Specialist
About The Position
The Payment Poster & Collector Specialist is responsible for posting all payments received from patients, insurance companies and third parties and will document payments into the patient accounting system and will assist with the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies is accurate and timely. Join us in this critical position, contributing to our mission of providing top-notch mental health services to the community. The position is located in the hospital business office for a freestanding psychiatric hospital organization.
Requirements
- High school graduate or equivalent preferred.
- A minimum of one (1) years of payment posting experience in a healthcare setting is required.
- Hospital experience highly preferred.
- Working knowledge and understanding of insurance rules and regulations is needed.
- Basic familiarity with MS Excel.
- Excellent communication skills and a professional demeanor is needed.
- Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast paced environment.
- Quickly learn the patient accounting MedHost software system, Hospital Clearinghouse, and effectively update Excel spreadsheets.
Nice To Haves
- May be required to work occasional overtime and flexible hours.
Responsibilities
- Pull remits manually and electronically for deposits daily.
- Accurately post payments and/or denials via ERA, EFT, and paper remits appropriately to accounts and balance payments posted back to the original deposit amounts.
- Verifies insurance payment is in alignment with payor contract by reviewing the contract status log and EOB received.
- Maintain and balance cash log daily to treasury.
- Researches and resolves unapplied and/or unidentified cash receipts.
- Identifies allowances, deductibles and co-insurance and ensures accurate posting.
- Scans and uploads supporting documentation as needed.
- Investigates all insurance recoupments to determine if they are correct or need to be appealed.
- Runs electronic deposit reports and processes payments.
- Review and interpret insurance carrier explanation of benefits (EOB) to post appropriate payment and denial codes.
- Enter/correct charges for outpatient services.
- Code and post all receivables from insurance companies, and third-party payors on patient accounts.
- Assist to resolve credit balances with insurance company & patients.
- Understand payor requirements and special requirements.
- Verification of appropriate revenue codes, CPT codes and modifiers.
- Able to read and understand an EOB.
- Can take the necessary action for account resolution in accordance with established federal and state regulations.
- Ability to identify next steps required when a claim has been denied/rejected.
Benefits
- 401(k) + matching
- Health insurance
- Vision insurance
- Dental insurance
- Paid time off
- Cafeteria on site + discounted meals
- Employee engagement events
- Employee assistance program
- Employee recognition program
- Free parking
- Career & training development opportunities
- Dynamic and inclusive work environment
- Engaged management team dedicated to your success
- A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
