Job Summary:

The responsibility of the payment poster is to log and prepare payment batches from the bank for posters. Balance Insurance and Patient payments from Imagine to Bank.

Job Duties:

• 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
• Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management
• Researches and resolves unapplied and/or unidentified claim payments
• Identifies allowances, deductibles and co-insurance and ensures accurate posting
• Investigates all insurance recoupments to determine if they are correct or need to be appealed
• Runs electronic deposit reports and processes payments
• Run Credit Card payments for in house payment plans
• Review and interpret insurance carrier explanation of benefits (EOB)
• Code and post all receivables from insurance companies, and third-party payors on patient accounts
• Ability to efficiently manage multiple tasks and to prioritize workload
• Working closely with Supervisors on reversals of payments, adjustments, transfers, and refunds
• Work with management to research reimbursement and billing issues
• Adheres to Confidentiality and HIPAA Privacy and Security Policies and Procedures
• Performs other related duties as assigned.

• High School or Equivalent
• Minimum of 1-3 years’ experience in billing
• Ability to read Insurance EOBs

Skills and Abilities:

• Knowledge in Microsoft Excel
• Must be comfortable interacting with employees, medical staff, leadership and medical providers
• Must demonstrate strong analytical skills and proficiency with Microsoft office products
• Must have strong critical thinking skills
• Maintains effectiveness when experiencing major changes in work tasks or the work environment
• Ability to work independently without close supervision
• Ability to exercise judgement and make decisions
• Ability to perform in a high productivity, fast-paced environment
• Interpersonal skills and conflict resolution