Payment Posting Specialist

Behavioral Health Network • Springfield, MA

12h • Remote

About The Position

This role is responsible for manually and electronically posting all receipts received from BHN funding sources in a timely manner. The specialist will identify, analyze, and resolve payment issues and problems, and respond to internal and external questions regarding payment and posting concerns. This position requires navigating payer websites and technical resources to store and utilize Explanation of Benefits (EOB) for accurate payment entries. The specialist will coordinate with other payment posting staff to ensure accurate and timely posting before month-end closing and will escalate and engage with payers for EOB-related issues and discrepancies. Documentation of issues and discrepancies in the EHR is also a key responsibility.

Requirements

• High School Diploma or GED required.
• Knowledge of medical insurance billing and collections with CPT, ICD10, and HCPC coding and medical terminology as well as an overall understanding of managed care products (HMO, PPO, ACO, etc.) required.
• Ability to work independently, remotely and maintain daily and monthly routines as well as preserve the integrity of the EHR.
• Ability to read and understand Explanations of Benefit (EOB).
• Ability to keep accurate billing records and report and discrepancies.
• Competency in keeping track of payment deposits from patients and insurance while reconciling details accurately.

Responsibilities

• Manually and electronically posts all receipts received from BHN funding sources in a timely manner.
• Identifies, analyzes, and resolves payment issues and problems in a timely manner.
• Responds to both internal and external questions pertaining to payment and posting concerns and issues in a timely manner.
• Navigates payers’ websites and various technical resources to store and utilize Explanation of Benefits (EOB) for accurate and timely payment entries.
• Coordinates with other payment posting staff to ensure that all payments received are posted accurately and timely prior to the closing of each month.
• Escalates and engages with payers (insurance companies) for EOB-related issues and resolution of adjudication discrepancies in a timely manner.
• Documents in the EHR any issues and discrepancies.

Benefits

• Generous PTO
• 403(b)
• Educational assistance
• Medical
• Dental
• Vision
• Employee assistance programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED