About The Position

The Payment Reconciliation Specialist is responsible for ensuring receipt of deposits, balance and reconciliation of daily, weekly, and monthly bank deposits, payment posting, and payment follow ups with a heavy focus on timeliness, quality, and accuracy.

Requirements

  • Minimum 3 years of medical insurance posting experience.
  • Knowledge of payer contract & government reimbursement rules.
  • Proficient in Microsoft office (Outlook, Excel, Word) and Google applications.
  • Skilled in using computer applications for payment posting with an understanding of A/R follow up.
  • Knowledge of insurance and reimbursement policies.
  • Experience with medical billing software (Raintree Systems experience a plus).
  • Experience in performing tasks that require a basic understanding of accounting and math skills.
  • Strong written and verbal communication skills; a self-starter who is dependable and reliable.
  • Must work well within a team structure, possessing outstanding interpersonal relationship skills, as well as, the ability to work independently.
  • Strong organizational skills and detail oriented with the ability to prioritize, complete tasks, and meet deadlines.
  • Must be able to promote a positive influence within the team, department, and company.
  • Ensure and adhere to departmental compliance with HIPAA guidelines, Raintree Systems, Inc. HR policies, standard operating procedures, and other corporate initiatives.

Nice To Haves

  • Raintree Systems experience a plus

Responsibilities

  • Update and maintain all logs and spreadsheets used for reconciliation.
  • Review, investigate and reconcile deposits and supporting documentation to enable accurate posting.
  • Investigate, research, and resolve outstanding deposits, reaching out to clients and payers for additional information as needed.
  • Identify and research needed information to clear out posting errors and follow ups.
  • Participate in month end closing.
  • Retrieve and post remittances from payor websites when the remittance is needed.
  • Research unidentified payments and or recoupment to determine the appropriate resolution.
  • Identify patterns and trends that indicate a potential issue and notify leads or supervisors.
  • Assist clients by answering inquiries and providing information.
  • Reconcile daily cash deposits to the billing system and bank.
  • Special projects and assignments as assigned.

Benefits

  • Remote Work/Work From Home
  • Paid Time Off/11 Paid Holidays/Year-End Holiday Break
  • Health, Dental, Vision, HSA/FSA
  • 401K with Company Match
  • Disability & Life Insurance
  • Employee Assistance Program
  • Paid Parental Leave

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

251-500 employees

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