Position Summary:

Handles the posting of payment and adjustments to patient accounts with proper documentation. Makes adjustments and refunds as appropriate. processing of sorting and receiving incoming payments with attention to accuracy along with managing the status of accounts/balances and identifying inconsistencies. Will bill claims and follow up until a resolution is achieved. THIS IS AN OFFICE BASED POSITION.

Position Description:

• Responsible for posting payer cash, checks, credit cards and adjustment to patient accounts and $0 payments. Assures that posting is accurate and posted in a timely manner within 72 hours of verified receipt of payment.
• Includes all comments and codes for denial reasons.
• Reviews, reports & tracking of all zero dollars, denials and underpaid amounts that fall outside clients’ collection policy to the appropriate Billing Specialist and/or Manager.
• Makes line item adjustments, as directed, for all zero pays and denials in an accurate and timely manner, as indicated by the payer EOB.
• Identify accounts that need to be refunded appropriate Billing Specialist or Manager.
• Ensure correct payment processing. Run, analyze & compare balancing report to ensure accurate posting.
• Run patient statement monthly.
• Abide by HIPAA and PHI guidelines at all times.
• Other duties as assigned

Required Knowledge, Skills and Abilities:

• Knowledge of basic policies and procedures or functions of a medical or behavioral health practice
• Knowledge of HIPAA, Compliance related to an outpatient practice
• Knowledge of EHR computer programs and billing applications
• Knowledge of professional claims, billing and collections
• Skill in exercising a high degree of initiative, judgement, discretion, and decision-making to accurately post payments
• Skill in establishing and maintaining effective working relationships with co-workers, providers, leadership staff, and patients
• Ability to organize and prioritize work effectively to meet the set goals, deadlines, and objectives of the position
• Ability to communicate clearly and effectively both in writing and verbally
• Proficient with Excel spreadsheet
• Excellent customer service skills, attention to detail, and a strong team player

Job Requirements:

• High School diploma or High School Equivalency
• Previous experience in medical group practice environment preferred
• Experience in medical or beharioral health coding and reimbursement, A/R, medical payment positng, and payment reason demial codes prefered
• 5 years of proven experience in billing

Essential Functions/Physical Demands:

• Positional: Driving in accordance with job duties assigned. Infrequent standing and walking. Constant sitting.
• Gross Mobility: Rare climbing, or crawling. Infrequent balancing, stooping, kneeling, or crouching. Frequent to constant reaching and handling.
• Sensory: Rare tasting/smelling. Infrequent use of color vision. Occasional use of far visual acuity, depth perception, and field of vision. Frequent use of near and midrange visual acuity, and visual accommodation. Frequent to constant talking.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or on the basis of disability.