PAYMENT POSTING REPRESENTATIVE-REMOTE

• Attend department, clinic or company meetings as required
• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
• Consistently work in a positive and cooperative manner with fellow staff members.
• Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Attend required annual in-service programs.
• Demonstrate knowledge and understanding of all company policies and procedures.

• Communication: Verbal and written communications are effective in soliciting and conveying information. Information is clear, concise and timely.
• Beacon Policies: Consistently adheres to OrthoAlliance Policies and Procedures (i.e.: including but not limited to: appropriate cell phone and computer usage, dress code, etc.). Also follows all OSHA and HIPAA regulations.
• Teamwork: Demonstrates teamwork within department and with company contacts. Allows for flexibility in how work is accomplished. Treats others with respect and dignity.
• Initiative: Takes initiative in routine situations and proceeds when appropriate. Learns new processes, procedures and technology as needed. Makes appropriate decisions.
• Patient Care/Customer Service: Responds to patients and coworkers in a friendly and professional manner. Anticipates patient needs, patients always come first.
• Dependability: Consistent pattern of good attendance and punctuality. Employee can be relied upon to meet work schedule and complete duties.

• Posting payments, adjustments, denials and rejections for manual insurance checks, patient checks and electronic remittance to the correct facility/patient/line item, by the deadline, with accuracy
• Read and analyze insurance Explanation of Benefits (EOB).
• Read and interpret proper payment (underpayment/overpayment) amounts based on applicable insurance fee schedules.
• Research, analyze, and process patient and insurance overpayments/refunds.
• Research and respond by telephone and/or in writing inquiries regarding payment posting issues and problems.
• Balance daily ERA batches and reports; prepare and distribute reports and statistics.
• Participates in continuing educational activities relative to assigned duties and responsibilities.
• Perform other duties as assigned by management.

• High school graduate or equivalent
• Medical billing payment posting/refunds experience in a health care organization.

• Experience with electronic health records/practice management system.
• Experience with NextGen
• Understanding of major insurance carriers including, HMOs, PPOs and governmental payers.
• Proficiency in Explanation of Benefits (EOB) and payment posting methodologies and principles.
• Recent experience working accounts including billing, collections, payments, refunds, denials and appeals.
• Strong 10-key/keyboard skills; accurate entry of numerical data.
• Sound judgment, maturity, and an ability to establish good rapport with patients, public, and staff.
• Ability to calmly handle multiple tasks at once, and deal with patients and staff with tact and diplomacy.

Originally posted on Himalayas