What are the responsibilities and job description for the RCM - Payment Posting Specialist position at Alliance Health System?
Alliance Health System is looking for a full time Payment Posting Cash Application Specialist to join our rapidly expanding company. If you are a Payment Poster/Cash Application Specialist, we are looking for you!
In this Role, you will:
- Post and analyze insurance and patient payments to proper line items while validating correct payments are issued using appropriate fee schedules for reference.
- Have a strong understanding of Out-Of-Network benefits and how the reimbursements relate to CMS, UCR, Reasonable & Customary, NJ PIP and Fair Health fee schedules.
- Have a keen eye and ability to see trends in denials and payments to help close the gap with documentation and collections
- Retrieve insurance Remittance Advice notices and Explanation of Benefits for proper handling
- Be well spoken and articulate as this position requires a high volume of communication with insurances, legal offices, providers and patients as well as other staff.
- Be professional, enthusiastic, conscientious, and possess strong communication, organization, and problem-solving skills.
- Enjoy collaborating with patients, physicians, and other team members.
- Look forward to growing professionally with advancement opportunities.
- Be viewed by others as dependable, punctual and honest.
Experience & Education Requirements
- Required: 2 years medical payment posting experience in electronic and paper remittances for all payer types
- Required: Proficiency with electronic health records and other programs used in medical billing (ex. Navinet, Availity, and Payer Portals)
- Required: Strong understanding of insurance benefits (deductibles, co-insurances, copays, and out of pocket expenses)
- Required: Knowledge of CPT, ICD-10 codes, modifiers, and HIPAA
- Preferred: CareCloud experience
Salary commensurate on experience
Benefits offered:
- Paid time off
- Health insurance
- Supplemental insurance - AFLAC
- Paid holidays
- 401(k) matching
- Dental insurance
- Disability insurance
- Life insurance
- Vision insurance
Job Type:
- Full Time
Schedule:
- Monday to Friday
Work Location:
- One location/ Hybrid/Remote
Work Remotely:
- Hybrid
#LI-Remote,
