What are the responsibilities and job description for the Payment Posting Specialist position at AMFM Healthcare?
Job Description
Job Description
Join Our Team as a Payment Posting Specialist!
Are you detail-oriented, organized, and passionate about accuracy in medical billing? We’re looking for a Payment Posting Specialist to join our team and ensure precise recording of patient and insurance payments. If you have a keen eye for numbers and experience in healthcare billing, we’d love to hear from you!
As a Payment Posting Specialist , you will be responsible for accurately recording payments, reviewing Explanation of Benefits (EOBs), managing adjustments, and ensuring account reconciliation. Your work plays a crucial role in maintaining accurate financial records while adhering to HIPAA regulations and billing guidelines.
Location : Works in person at our office in San Juan Capistrano, CA.
Schedule : Monday - Friday, 8 : 30am-5 : 00pm.
Compensation : $21.00-$24.00 / hour.
About Us
A Mission For Michael is Different. We believe in going beyond traditional mental health care by offering a more personal, deeply compassionate healing experience. Nestled in beautiful residential homes, our dedicated clinical team provides 24 / 7 care in a safe and supportive boutique setting with 6-8 clients per home. Our comprehensive clinical programming blends individual and group therapy with experiential therapies such as art, music, and equine therapy. In addition to psychological evaluations, we prioritize getting to know each client’s life story and personal history. This insight into their lived experience helps us craft a treatment plan that is as unique as they are, ensuring we address not just their symptoms, but the root causes of their struggles.
We are tenacious in making sure every client feels seen, heard, and cared for, with their well-being serving as our true north. A Mission for Michael’s long-standing presence in the mental healthcare field and our well-earned reputation for excellence gives families confidence that their loved one is in trusted, credible hands. Our history reflects our deep commitment to quality care and consistent, positive outcomes.
Benefits for full time employees :
Medical, Dental, and Vision plans through Anthem.
FSA / HSA Accounts.
Life / AD&D insurance through Anthem, 100% paid for by the employer.
Other benefits include :
401k plan with employer match.
PTO, Self Care Day, and Floating Holiday.
Educational Assistance Reimbursement Program.
Employee Assistance Program.
Health and Wellness Membership.
JOB DESCRIPTION :
The Payment Posting Specialist accurately and efficiently records incoming patient and insurance payments onto patient accounts, which includes reviewing Explanation of Benefits (EOBs), applying correct payment amounts, managing adjustments, and resolving any discrepancies to maintain accurate accounts receivable records, all while adhering to HIPAA regulations and billing guidelines
QUALIFICATIONS :
Must be 18 years or older to apply for this position.
Successful completion of the ADP Selective Screening Services background check as well as any other state, federal or company required background / record check.
Education Requirement : High school diploma or equivalent.
Preferred experience is at least 1 year of accounting or payment posting experience in a behavioral health treatment setting.
Physical Requirements : Ability to work on a computer / keyboard, use electronic systems, communicate with others through written and verbal formats, ability to sit for long periods of time, listening, reading comprehension, lifting up to 10 lbs.
To perform this job successfully, an individual must be able to perform each essential job function assigned satisfactorily. The requirements listed above are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge, Skills, and Abilities :
Ability to operate standard office machines and equipment, including telephones, computers, copy machines, fax machines, calculators, scanners, and shredders.
Ability to be professional and maintain a positive attitude and relationships with coworkers.
Excel at both written and verbal communications to convey essential information; must be able to utilize the proper linguistic syntax and spelling.
Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.
Knowledge of Substance Use Disorder (SUD), Intensive Outpatient (IOP), and Mental Health (MH) programs.
Knowledge of the clinical, medical, and miscellaneous services provided to the clients.
Ability to use computer software including Microsoft Office, Microsoft Excel, Adobe Acrobat, Quickbooks, CollaborateMD, NetSuite, and G Suite products.
DUTIES AND RESPONSIBILITIES :
The Payment Posting Specialist will be assigned projects, based on his / her level of expertise, that include any, or all the following job responsibilities. The individual may also be assigned other duties as needed by their supervisor.
Post payments from insurance companies, patients, and other sources to the correct accounts.
Review data on insurance explanation of benefits (EOB’s) to ensure accurate payment posting.
Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to verify accuracy of patient balances and expected allowed amounts from insurance.
Investigate and resolve outstanding account issues, including patient billing inquiries and insurance claim denials.
Report and monitor any payment discrepancies and anomalies to the Billing Director.
Reconcile accounts to ensure consistency and accuracy.
Follow up on and resolve credit balance accounts.
Monitor accounts receivable aging.
Investigate the source of unidentified payment to ensure they are applied to appropriate accounts. If necessary, contact the sender to clarify where the payment should be posted.
Generate reports on key metrics like daily payment volume, outstanding accounts receivable, and denial rates.
AMFM Healthcare is committed to providing equal employment opportunities to all employees and applicants without regard to race, ethnicity, religion, color, sex (including childbirth, breast feeding and related medical conditions), gender, gender identity or expression, sexual orientation, national origin, ancestry, citizenship status, uniform service member and veteran status, marital status, pregnancy, age, protected medical condition, genetic information, disability, or any other protected status in accordance with all applicable federal, state and local laws.
The schedule for this position is Monday - Friday, 8 : 30am - 5 : 00pm.
A67-003.
40 hours.
Salary : $21 - $24
