Medical Payment Posting

Medical Payment Posting Eye Medical Center of Fresno, Inc. - 3.4 Fresno, CA Job Details Full-time $39,520 - $52,000 a year 23 hours ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program 401(k) matching Employee discount Life insurance Qualifications Accounts receivable Customer communication Financial close processing EHR systems High school diploma or

GED HCPCS

Accounting data entry Data entry CPT coding Closing the books Medical explanation of benefits reviews Medical billing account reconciliation Medical terminology Time management

Full Job Description Position:

Medical Payment Posting Clerk Primary Duties:

With precision and accuracy, post all medical payments received by the practice. Diligently reviewing each to ensure it was received accurately and when necessary, redirecting to appropriate team member to pursue proper payment. 1. Accurately process and posts all manual, online, electronic payments (including zero pays) received from all payor sources to patient accounts. payors through 835 electronic remittances, credit cards, and lockbox. 2. Effectively communicate and document payment denials in the practice management system. 3. Promptly notify and distribute evidence of any denials to the appropriate billing representative. 4. Perform an audit at the end of each day to ensure that all activities from lock box, EFT deposits, credit cards, are posted and balanced. 5. Contact insurance companies on questionable or missing Explanation of Benefits (EOB's). 6. Audit, reconcile, and adjust previously posted and rejected payments. 7. Analyze and resolve moderately complex electronic posting reconciliations and conduct reviews of own entry to prevent errors. 8. Evaluate EOB's, analyzing each claim for over and underpayments.

Overpayments:

refund request should be submitted to supervisor for verification and approval.

Underpayments:

flag account and immediately notify Accounts Receivable (AR) to appeal for appropriate payment. 9. Complete daily and weekly productivity/performance reporting as directed by management. 10. Cross train in other areas of the billing department. 11. Gain and continue to maintain up to date billing related knowledge, including contracted insurance plans, accepted payment programs, contractual payment amounts. 12. Other job duties as assigned.

Other Job Criteria:

1. Exhibit high levels of customer service and communication skill, verbal and writing, in all interactions both internally and with outside companies. 2. Ability to proficiently utilize all company technology to perform job duties (e.g., answer phones, send emails, and updating patient accounts as needed). 3. Blend education, skills and experience on an ongoing basis. 4. Ability to work in a team setting and independently with minimal supervision, alternating between each as circumstances require. 5. Advanced time management skills, efficiently complete job duties with extreme accuracy. 6. Advanced organization skills, using professional judgment to prioritize high volume workload. 7. Maintain patient and job confidentiality, ensuring compliance with HIPAA standards. 8. Appearance and habits, does come to work with presentable personal hygiene and attire. 9. Reliable, dependable, and able to maintain job attendance with minimal absence. 10. Perform job duties in spite of unforeseen obstacles, with versatility and positive personal temperament under stress and or pressure. 11. Sitting and for long periods of time.

Education/Experience:

1. High School Diploma or GED 2. At least one year of experience in medical accounts receivable (AR) follow-up, revenue posting, and month-end closing. 3. Extensive experience and proficiency in date entry. 4. Proficiency in EOB analysis, payment adjustments, and medical terminology. 5. General understanding of CPT and HCPCS codes, AR follow-up, and payment reconciliation, and all revenue cycle functions and interrelationships.

Job Type:

Full-time Pay:

$39,520.00 - $52,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off

Work Location:

In person