Revenue Cycle Payment Posting Specialist - Hybrid and Remote

UCSF Health Medical Foundation•Emeryville, CA
•$28 - $31

About The Position

The Revenue Cycle Payment Posting Specialist is responsible for timely and accurate posting of electronic funds transfer (EFT) transactions and adjustments, balancing daily manual batches, and assisting with daily reconciliation. The specialist works collaboratively with Revenue Cycle colleagues to provide work products that meet organizational quality and quantity expectations. The role requires strong computer skills, particularly with EPIC and Microsoft Office tools, as well as knowledge of insurance billing, medical terminology, and Revenue Cycle rules and regulations. The specialist must be able to work independently, manage multiple tasks, communicate effectively, and support team members with posting issues. The position also includes maintaining positive working relationships, addressing quality and risk issues, and supporting Electronic Health Record optimization and organizational quality metrics.

Requirements

  • High school diploma or GED.
  • Five or more years of healthcare accounts receivable experience, including expertise in un-adjudicated claim management, appeals, and pre-collections.
  • Computer skills with Explorer, Excel, Word, Outlook, and EPIC or other EHR software.
  • Knowledge of insurance billing and compliance, with strong problem-solving skills.
  • Knowledge of medical terminology and rules and regulations relating to the Revenue Cycle.
  • Understanding of managed care contracts, insurance, and credentialing compliance.
  • Ability to read an EOB and use insurance portals.
  • Demonstrated ability to develop and train staff on processes and procedures.
  • Ability to multitask and work independently.
  • Ability to assess and translate organization or customer needs into learning objectives and devise effective training solutions.
  • Good verbal and written communication skills.
  • Ability to analyze situations, strategize solutions, and work with minimal supervision.
  • Ability to demonstrate diplomacy and use conflict resolution techniques.
  • Must be able to lift 20 pounds and walk, stand, or sit for long periods.

Responsibilities

  • Post and reconcile deposits daily.
  • Identify the difference between PLB and overpayment.
  • Manage credit balances and process refunds as needed.
  • Support the team with posting issues.
  • Process credit card payments received in correspondence files.
  • Distribute correspondence to the appropriate department.
  • Maintain 95% accuracy in job duties.
  • Seek educational opportunities for professional growth and development.
  • Partner with team members to achieve goals.
  • Collaborate with Revenue Cycle colleagues to meet quality and quantity expectations.
  • Analyze situations and develop solutions, working from a general concept to a finished product with minimal supervision.
  • Communicate diplomatically and use conflict resolution techniques.
  • Maintain positive working relationships with UBCP colleagues and others.
  • Ensure work meets defined quality, quantity, and timeliness expectations.
  • Monitor and address potential risk management and quality issues in a timely manner.
  • Maintain standards of service, productivity, safety, and security.
  • Support Electronic Health Record optimization within the organization.
  • Participate in initiatives to achieve organizational quality metrics.
  • Initiate and maintain communication with the Manager and colleagues about critical issues.
  • Perform other duties as requested or assigned.
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