A/R Medical Billing Payment Poster

A/R Medical Billing Payment Poster

Job Description

Physicians Management Group, which provides all administrative services for Maryland Primary Care Physicians LLC, has an A/R Medical Billing Payment Poster opening. Under the supervision of the Posting Supervisor, the A/R Medical Billing Payment Poster is responsible for the daily posting of payments and adjustment transactions for posting, electronic, paper, and lockbox, and credit card payments and handling incoming patient calls.

Daily work activities include but are not limited to:

• Timely and accurate posting of payments, adjustments, retractions, and denial transactions (paper and electronic).
• Verify the accuracy of daily input to reports generated by the practice management system
• Review and interpret the Explanation of Benefits (EOB) from insurance carriers to post appropriate payment and denial codes.
• Resolve all pending and variance items within designated time frames.
• Recognize payment inconsistencies and anomalies and inform the appropriate supervisor.
• Maintain organized payment and adjustment batches, supportive paper EOB and remittance advice.
• Work with various credit queues in Epic. Research and resolve unapplied or over-posted credits and process refund requests when necessary.
• Prepare the daily payment posting documents.
• Participate in identifying third-party payer payment denials and low reimbursed charges.
• Answer and respond to patient and insurance carrier calls and address their questions and concerns in a professional and timely manner.
• Accurately and concisely document notes in the medical software system per company guidelines.
• Respond to e-mail and phone inquiries from individual practice sites.
• Ensure compliance with rules and regulations for insurance carriers.
• Maintain up-to-date information on various insurance companies and any relevant changes.
• Communicates effectively with staff at all levels of the organization, both inter and intra-departmentally.
• Provide guidance and instruction to fellow team members when necessary.
• Provide information regarding work progress, actions, and issues in a timely and effective manner. Recommend improvements.
• Effectively identify and communicate to the supervisor changes, issues, or when assistance is needed.
• Support and backup other areas of the department as needed.
• Perform other duties as assigned.

TRAINING TO TAKE PLACE ON-SITE.

Knowledge, Skills, and Abilities:

· Must have proficient knowledge of insurance requirements, medical terminology, medical necessity associated with various procedure codes. Must have a working knowledge of practice management system/EHR system(s), CPT, modifier, ICD-10 coding, and governmental and commercial insurance guidelines. Understanding of insurance explanation of benefits and other insurance correspondence. Experience with Electronic Remittance Advice is preferred. Customer service and customer phone communication experience with an ability to communicate effectively and provide excellent customer service. Must be able to problem-solve, follow written and oral instructions, and function effectively as a team with other employees. Ability to work independently, both remotely and in an office environment. Excellent time management skills and attention to detail. Maintain the confidentiality of patient information following company policy and procedure and HIPAA regulations. Possess proficient use of computerized billing systems, personal computers, and Microsoft Word and Excel software applications. Epic Software experience is a plus.

Required vaccinations (unless approved medical or religious exceptions): Flu, PPD, and MMR

Job Type: Full-time

Schedule:

• Monday to Friday

Experience:

• Medical Billing: 1 year (Required)

Work Location: One location

Job Type: Full-time

Pay: $19.00 - $21.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $19 - $21