POSITION SUMMARY :
This position is responsible for verifying and posting patient and insurance payments and adjustments in the EMR system.
ESSENTIAL JOB DUTIES :
- Responsible for posting insurance, patient payments, and adjustments via the EMR system.
- Files and copies EOB's with secondary insurances when required.
- Balances payments against department totals.
- Scans and indexes EOB's into the Docutrak system.
- Applies electronic payments.
- Posts all patient and credit card payments to proper account.
- Complete posting payment batches within departmental protocols.
- Runs daily batches for all transactions posted within that day.
- Responsible for auditing and compiling payment transfers, adjustments, credit balances, refunds, and collection accounts.
- Tracks and maintains balances of unidentified accounts and prepaid accounts.
- Understands and implements the contractual requirements of the EOB's in order to process patient payments.
- Responsible for identifying and tracking insurance payment errors and reporting back to manager.
- Responsible for pulling EOB's from EDI and / or portal websites
- Responsible for auditing and compiling refunds for both patients and insurances.
- Responsible for running Monthly Deposit Summary report.
- Responsible for running credit card payment via fax and mail.
- Responsible for creating daily mail batches. (When applicable)
- Responsible for printing secondary HCFA's.
- Work secondaries. (When applicable)
- Responsible for boxing up financials.
- Other duties and tasks as assigned.
Position Requirements
KNOWLEDGE, SKILLS AND ABILITIES :
Knowledge of Microsoft Office productsKnowledge of HIPAA regulationsKnowledge of medical insurance contractsSkill with working with multi-line telephone system.Skill in working with outside facilities.Ability to interpret EOB’s.Ability to maintain confidentiality.Ability to maintain professionalism at all times.EDUCATION AND / OR EXPERIENCE :
Two years medical payment posting experience.Experience with medical EMR system.Experience interpreting EOB’s.Excellent verbal and written communication skills.Excellent customer service skills.Medical terminology.PHYSICAL DEMANDS / WORK ENVIRONMENT :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the following physical / work environment functions apply :
Sit for extended periods of time, walk, talk or hear.Type, utilizing a computer keyboard, and maneuvering computer mouse.May lift up to 10 lbs.Utilize a multiline telephone system.