What are the responsibilities and job description for the Payment Posting Specialist/AR Denial Representative position at Northeast Florida Endocrine & Diabetes Associates?
Responsibilities
- Accurately and efficiently post insurance and patient, payments received from insurance carriers and patients to the appropriate accounts in the practice management system.
- Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment, adjustment, and denial codes.
- Identify incomplete information necessary to post remittance and take the steps needed to resolve questions, inconsistencies, or missing data.
- Ensure electronic deposits match payment totals.
- Ensure payment batches match bank deposits.
- Accurately move balances to patient responsibility and ensuring prompt patient billing.
- Identify line-item denials for medical necessity, non-covered services, and prior authorization issues. Communicate discrepancies to Referral & Authorization Manager.
- Spot issues with front office collections, such as failing to collect deductibles or copayments when processing insurance remittances.
- While processing write-offs and adjustments, investigate unusual contractual adjustments. Communicate problematic trends to the Revenue Cycle Manager.
- Electronic posting reconciliations and conduct reviews of entries to be proactive to any errors.
- Ensure all pending and variance items are resolved within designated time frames.
- Maintain the confidentiality of patient information following posting guidelines, company policy & procedure, and HIPAA regulations.
- Additional duties as assigned.
Qualifications
- Proficient in medical collection and billing processes
- Experience with EHR systems and medical office operations
- Strong understanding of medical terminology and records
- Knowledge of medical coding including CPT, ICD-9, and ICD-10
- Familiarity with DRG and AR denial management
- Ability to navigate
systems effectively
Summary
As a Payment Posting Specialist/AR Denial Representative, you will be integral to the financial operations of our healthcare organization, reporting directly to the Accounts Receivable Manager. Your primary responsibilities will include managing medical collections, processing payments, and addressing denial issues. With core skills in EHR systems, medical terminology, and medical coding, you will ensure accurate posting and reconciliation of payments. Your premium skills in DRG, CPT, and ICD coding will enhance our billing processes, while your medical office experience will support efficient operations. Join us to contribute to our mission of delivering exceptional healthcare services.
Job Type: Full-time
Pay: From $20.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Payment Posting: 3 years (Required)
Work Location: In person
Salary : $20
