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Payment Poster and RCM Support

Salary undisclosed

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POSITION SUMMARY

This position utilizes knowledge of insurance regulations, medical coding, and bookkeeping to successfully post and reconcile insurance payments in a timely manner, as well as perform a variety of revenue cycle management support activities.

PRIMARY DUTIES & RESPONSIBILITIES (Essential Functions of the Position include but are not limited to the following. Other duties may be assigned).

Payment Posting

  • Posting of electronic remits with resubmittal errors and/or provider level adjustments.
  • Pulling and manipulating 835 data to make complex posting more efficient and reliable.
  • Identification and resolution of unapplied insurance payments.
  • Posting of paper payments including pulling paper remits from various portals for enrollment delays.

Management and Maintenance of Automatic Posting

  • Releasing of remits for practices not fully automated.
  • Identifying ongoing systematic issues with automatic posting.

System Maintenance

  • Modifying claims within the project management system based on reports, general system review, and outside requests.

General RCM Team Support

  • Support RCM team in billing, submittal and maintenance as needed.

Other job functions to be assigned as determined by organizational needs

ESSENTIAL SKILLS

  • Communication, organization and time management skills
  • Critical thinking and problem solving abilities
  • Ability to manage, coordinate and prioritize competing goals and tasks
  • Collaborative team member who can work with multiple personalities

POSITION SUMMARY

This position utilizes knowledge of insurance regulations, medical coding, and bookkeeping to successfully post and reconcile insurance payments in a timely manner, as well as perform a variety of revenue cycle management support activities.

PRIMARY DUTIES & RESPONSIBILITIES (Essential Functions of the Position include but are not limited to the following. Other duties may be assigned).

Payment Posting

  • Posting of electronic remits with resubmittal errors and/or provider level adjustments.
  • Pulling and manipulating 835 data to make complex posting more efficient and reliable.
  • Identification and resolution of unapplied insurance payments.
  • Posting of paper payments including pulling paper remits from various portals for enrollment delays.

Management and Maintenance of Automatic Posting

  • Releasing of remits for practices not fully automated.
  • Identifying ongoing systematic issues with automatic posting.

System Maintenance

  • Modifying claims within the project management system based on reports, general system review, and outside requests.

General RCM Team Support

  • Support RCM team in billing, submittal and maintenance as needed.

Other job functions to be assigned as determined by organizational needs

ESSENTIAL SKILLS

  • Communication, organization and time management skills
  • Critical thinking and problem solving abilities
  • Ability to manage, coordinate and prioritize competing goals and tasks
  • Collaborative team member who can work with multiple personalities

REQUIRED QUALIFICATIONS

  • Associates or Bachelors degree in Finance, Accounting or other related field. Prior experience may substitute for educational requirement
  • Proficient in Excel with basic formula creation skills
  • Minimum of 2-5 years proven, progressive experience in healthcare receivables
  • Familiar with basic medical billing practices and medical terminology

WORK SCHEDULE

  • Monday to Friday, standard work hours
  • Occasional overtime/weekend work may be required during peak times or in the event of an emergency

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the organization.

This position may demand responsibilities not outlined in this description to maintain the continued growth of the organization. These responsibilities may be assigned by the direct supervisors, Directors of other departments, or Organizational Leadership.