What are the responsibilities and job description for the Payment Poster position at Lakeshore Bone & Joint Institute?
As the region's dedicated experts in exceptional musculoskeletal care, our doctors and staff at Lakeshore Bone & Joint Institute have served the orthopedic needs of northwest Indiana since 1968. With state-of-the-art facilities, we are dedicated to delivering the exceptional, compassionate care patients need to keep moving and keep enjoying their life.
The Payment Poster is responsible for posting medical payments through excellent posting practices.
Essential Job Functions:
- Review accuracies from the off-site cash posting team and patient credit accounts & apply credit balances to accounts owed
- Assist with cash posting projects and miscellaneous assignments
- EOB and ERA posting and reconcilement - ensure data from both EOB’s and ERA’s match payments.
- Report and reroute denied claims to the appropriate coding and denial management team for rework and re-submission to payers in a timely manner.
- Identify and move balances to the patient's responsibility helps to ensure faster patient billing.
- Process write-offs and adjustment and report any unusual contractual adjustments while processing payment.
- In person collection issues - provide inputs on trends in denials, non-covered services, prior authorizations, and deductibles or co-payment collection issues at the point of service.
- Complete payment entry in a timely and accurate manner
- Assist in posting of daily charges when necessary
- Communicate and document payment denials in the practice management system and to the appropriate billing representative in a timely manner
- Monitor payment trends and identify any payments not being paid at the allowed/contracted amount and communicates this to the Revenue Cycle Manager
- Understand and remain educated on current insurance remittances (EOBs) including deductibles, contractual write-offs, recoupments, refunds, interest payments and posting them efficiently and accurately
- Verify account balance is moved to patient’s responsibility after insurance posting is complete
- Ensure that the amounts posted match the batch report total and troubleshoot as necessary
- Assist with maintaining and loading current fee schedules in the billing system as changes occur and as necessary
- Aid team members and other LBJI staff with questions regarding EOBs and/or remittance statements
- Present problems to team with a solution-based approach
- Attend and participate in meetings as necessary
- Other duties as assigned
Competencies:
- Responsible decision making
- Integrity and accountability
- Innovation and creativity
- Adaptive and flexible
- Teamwork and conflict resolution
- Self-confidence and humility
- Professionalism and work ethic
Required Skills:
- Employ Critical thinking and problem solving
- Maintain composure and operates with emotional intelligence
- Ethical reasoning and decision-making
- Strong attention to detail
- Exceptional customer service
- Receptive and responsive to feedback
- Excellent verbal and written communication skills
- Time management, prioritization, and sense of urgency
Preferred Experience:
- Minimum of 1-year medical practice or comparable experience required. Orthopedic clinic experience preferred
- Healthcare related background including medical terminology required
- Experienced in common office hardware and software including MS Office and outlook
Minimum Education:
High School Diploma or the equivalent
Preferred Education:
Associate or bachelor’s degree preferred
Physical Requirements:
While performing the duties of this job, the employee may be required to sit and/or stand for prolonged periods, work longer than eight (8) hour shifts, and to work both day/evening shifts. Work may hand dexterity as well as the need to reach, climb, balance, stoop, kneel, crouch, talk, and hear. The employee must occasionally lift and/or move up to 50 lbs. While performing the responsibilities of the job, the employee is required to talk and hear. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the job.
Environmental/Working Conditions:
Work is performed in an office environment. Involves frequent personal and telephone contact with patients and with testing sites and surgery departments. Work may be stressful at times. Interaction with others is constant and interruptive. Contact involves dealing with injured sick people.
Compliance:
All employees have a responsibility to comply with our organization’s policies and procedures, adhere to our Code of Conduct, complete required compliance training modules, and report any observations of non-compliance.
EEO Statement:
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.