Revenue Cycle Payment & Reconciliation Representative

Join Max Surgical Specialty Management, an innovative leader in the healthcare industry, as we embark on an exhilarating journey of growth and expansion!
We are seeking a motivated and dynamic individual to join our Revenue Cycle Management Team as a Revenue Cycle Payment & Reconciliation Representative.

What You'll Do:
The Revenue Cycle Payment & Reconciliation Representative will be responsible for ensuring that all monthly payment reconciliations, pending adjustments and lock box correspondence discrepancies are completed in a timely manner. Through collaboration and proficiency in technology, the role contributes to the financial integrity and operational success of the organization.
The successful candidate will be able to:

• Review EOBs and ensure that all high-volume incoming adjustments are posted accurately and in a timely manner
• Reconcile payments and deposits according to departmental operational procedures
• Retrieve payments from various provider portals and review electronic remittance advice postings where applicable
• Track and research unapplied cash while performing root cause analysis and escalating issues to management as necessary
• Review electronic remittance advice posting for proper application to system records
• Work with the Accounting Department to complete the month-end reconciliation process
• Serve as a back up to post payments and adjustments during month end close
• Reconcile EFT and check payments daily
• Work with the posting vendor to identify and allocate payments received without documentation
• Process insurance credit card payments (received by mail, email, fax, lockbox) for all locations and upload/log the EOB
• Daily reconciliation of Card Pointe, and process patient refunds through Card Pointe for credit card transactions
• Document patient ledger and mail patient receipts
• Manage and document all returned checks
• Work closely with the Business Administrator to solve the missing payments or any issue related to payments
• Assist the Business Administrator, with EFT upload platforms and related tasks
• Serve as a back up to business administrator on incoming mail
• Work with posting vendor on daily pending adjustments, lockbox issues and credit balance reviews
• Perform any and all other duties as assigned

What You’ll Bring:

• High School Diploma or GED
• Medical billing, and payment posting experience highly preferred, but not required (willing to train the right candidate)
• The ability to handle multiple tasks simultaneously, meet time sensitive deadlines and organize workload with general supervision
• Effective critical thinking, creativity, problem-solving, and decision-making skills
• Excellent verbal and written communication and leadership skills
• Must be detail-oriented and thorough with excellent organizational skills
• Proficiency with Microsoft Office Suite of products and ability to learn other applications proficiently

Perks of the Job:

• Highly competitive salaries & annual performance and compensation reviews
• Competitive health insurance and benefits, including medical, dental, vision, disability, and more
• 401k retirement savings plan that includes employer match
• Generous Paid Time Off, sick leave, and paid holidays
• Advance your career growth with opportunities in the most extensive growing oral surgery practice in the Northeast

About MAX Surgical Specialty Management:
Established in September 2022 as the Northeast region’s first oral and maxillofacial surgery-only specialty platform, MAX Surgical Specialty Management is a surgeon-led management services organization developed with clinical and surgeon autonomy at its core. Today, MAX supports surgeons across New Jersey, New York, Pennsylvania, Vermont and Connecticut, enabling practices to channel resources, skills and knowledge within the oral surgery specialty, leading industry advancements and delivering the highest standard of patient care. Surgeons have access to a curated network that allows them to collaborate with and work alongside a diverse pool of highly skilled peers who are leaders in their specialty. MAX safeguards surgeons’ independence while offering robust support systems, access to advanced technology and opportunities for financial growth.

Integrity-driven. Patient-focused. Experience the difference at www.max-ssm.com.

MAX Surgical Specialty Management is an equal opportunity employer committed to providing fair employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, veteran status, or any other legally protected characteristic. We welcome diversity and encourage applicants from all backgrounds. Our inclusive environment values and empowers every employee to contribute to our mission.

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