Job Title:  Payment Posting Specialist

Schedule: Monday–Thursday, 8:00 AM – 5:30 PM EST; Friday, 8:30 AM – 12:30 PM EST

Statement of Purpose: This position will have a strong understanding of payment posting, billing procedures, insurance guidelines, exceptional detail and organizational skills. The Payment Posting Specialist will be responsible for accurately posting all incoming payments to ensure proper allocations and accurate posting and reconciliation. The Payment Posting Specialist will collaborate with internal departments to gather necessary information, maintain accurate records, and provide exceptional customer service to both internal and external stakeholders.

Primary Tasks:    

• Ensuring that all deposits are uploaded to the billing system daily.    
  
• Post all personal, insurance and liability payments from Remittance and EOB’s to appropriate accounts with minimum errors and minimal duplication.    
  
• Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances.    
  
• Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances.    
  
• Ensure the posting of the deposit batches are reconciled to the bank account daily and all completed before month end.   
  
• Participate in working and monitoring lockbox remit post work queues.
  
• Assign proper adjustment transaction codes to contractual write offs and denials.
  
• Day and monthly reconciliation of all deposits to include lockbox, EFT, cash and credit cards.
  
• Monitor incoming payment inquiry for resolution.    
  
• Review and post incoming ERA denied claims. Posts no pays in a timely manner.   
  
• Assist in updating the Daily Reconciliation Log.
  
• Investigate the source of unidentified payment to ensure they are applied to appropriate accounts. If necessary will contact the sender to clarify where the payment should be posted.
  
• Add appropriate ANSI/CAS denial codes and comments to assure all necessary appeals and post payment follow up can take place.
  
• Researches duplicate payments and works to update claims in work queues as necessary.
  
• Assists with all areas of RCM as requested by the Revenue Cycle leadership.
  
• Promotes and practices CAN Community Health, Inc.’s mission, values and follows policies.
  
• Maintains confidentially regarding patient and/or family in accordance with professional and departmental standards.   Maintains confidentiality of sensitive data.
  

Secondary Tasks:

• Practice “Integrity” and “Mission and Value” statement.
  
• Perform other duties as assigned by Revenue Cycle Manager.   
  
• Works as a liaison with management team members to ensure successful flow of the organizations operations.

Education/Professional:

• High School Diploma required; Bachelor’s degree preferred.   
  
• Three -Five years minimum of RCM experience.   
  
• Previous experience working in Payment Posting preferred.

Competencies:

• Problem Solving   
  
• Results Driven    
  
• Detail Orientation    
  
• Communication   
  
• Interpersonal Skills   
  
• Decision Making   
  
• Customer Service

Knowledge, Skills and Abilities Required:

• Ability to work with minimal supervision.   
  
• Ability to prioritize tasks and manage time effectively to meet
  

   deadlines.    

• Ability to research projects using primary sources when appropriate, such as
  

   CMS, HRSA, AHCA, etc.    

• Experience working with medical payers including Medicare, Medicaid,
  

   Commercial and third-party administrators.    

• Strong attention to detail and accuracy in data entry and record-keeping. 
  
• Ability to utilize problem-solving and decision-making techniques.   
  
• Knowledge of grant and insurance procedures, reimbursement guidelines, and claim
  

   filing processes.    

• Excellent written and verbal communication and interpersonal skills.   
  
• Excellent computer skills and proficient in Microsoft Office (EXCEL, VISIO, Word, PowerPoint)   

• Excellent people skills, open to direction and commitment to get the job done.    
  
• Commitment to maintaining compliance with all relevant regulations and guidelines related to Ryan White Program billing.    
  
• Promotes teamwork, productivity, and delivery of high-quality care.    
  
• High comfort working in a diverse environment with changing priorities.

Independent Contractor Perks
HMO Coverage for eligible locations
Permanent work from home
Immediate hiring
Steady freelance job