Support Service Rep II - Payment Poster

Job Summary :

Accurately posts payments for all physician services in a timely manner, reviews and verifies appropriate usage of modifiers and CPT-4 codes to ensure appropriate reimbursement. Demonstrates flexibility in scheduled hours to ensure all payments are posted daily and at month end. Analyzes remittances to ensure accurate reimbursement has been received and denials are posted correctly. . Responsible for calculating and posting contractual allowances accurately and timely keeping the AR to a minimum. Responsible for incoming and outgoing mail. Researches and answers customers questions. Interacts with FPG Physicians, Office Managers CBO staff and other appropriate SMH staff to review payment posting issues. Responsible for keeping abreast of and complying with all third party regulations. Responsible for ensuring all fee schedules are kept current. Handles all correspondence and all communications in a timely manner. Job knowledge is section specific. Ability to demonstrate Customer Service Recovery, be flexible and adapt to changes in growth within the CBO Department.

Required Qualifications :

• Require two (2) years of experience working with Medicare, Medicaid and commercial billing and collections.
• Require the ability to analyze problems and consistently follow through to resolution.
• Require the ability to meet and greet public and handle difficult situations diplomatically.
• Require a clear and distinct speaking voice.
• Require the ability to operate an adding machine quickly and accurately by touch.
• Require the ability to use standard office equipment.
• Require basic mathematical, organizational, and communication skills.
• Require basic knowledge of Managed Care remittance and adjustment process.

Preferred Qualifications :

Mandatory Education :

HS EQ : High School Diploma, GED or Certificate

Preferred Education :

Required License and Certs :

Preferred License and Certs :