Medical Billing Payment Poster

The Medical Billing Payment Poster plays a vital role in maintaining financial accuracy within OAW. This position is responsible for accurately posting payments from insurance providers and patients, processing refunds, and reconciling accounts. A keen eye for detail and a solid understanding of medical billing procedures are essential. The ideal candidate will be proficient in handling insurance credits, electronic remittances, and account balancing, with strong analytical skills to resolve discrepancies while ensuring compliance with industry regulations.

Requirements

• Accurately post insurance and patient payments, adjustments, and denials.
• Reconcile daily deposits, remittances, and bank transactions to maintain financial accuracy.
• Process insurance and patient refunds, ensuring proper documentation and compliance.
• Analyze and resolve discrepancies related to insurance payments, refunds, and credits.
• Identify and work insurance credits, applying payments correctly to outstanding balances.
• Maintain accurate and detailed records of all transactions and reconciliations.
• Work closely with the accounts receivable team to resolve payment posting issues.
• Communicate effectively with insurance companies to clarify payment discrepancies.
• Utilize Excel for tracking, balancing, and reporting payment data.
• Stay up to date with insurance regulations, medical billing guidelines, and compliance requirements.
• Ensure confidentiality of patient and financial information in compliance with HIPAA regulations.

An individual in this position must be able to perform the essential duties and responsibilities listed above successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this position.

The above list reflects the general details necessary to describe the principle and essential functions of the position and shall not be construed as the only duties that may be assigned for the position.

Minimum Qualifications

Education

Experience

Physical and Mental Demands

Communication Skills

Ability to clearly explain billing procedures, insurance details, and payment options to patients, as well as effectively communicate with healthcare providers and insurance companies. Accurate documentation of billing information and patient interactions. Strong interpersonal skills to handle patient inquiries and resolve billing issues in a professional and empathetic manner.

Mathematical Skills

Proficiency in basic math operations for calculating charges, payments, and adjustments. Understanding of billing cycles, insurance reimbursement rates, and payment plans. Ability to perform reconciliations and handle financial discrepancies. Ability to analyze billing data, identify trends, and detect errors or inconsistencies.

Judgement and Decision Making

Ability to identify billing issues, investigate causes, and implement solutions. Prioritizing tasks based on urgency and importance. Evaluating complex billing situations, making informed decisions, and considering the potential impact on patients and the hospital. Ensuring all billing practices comply with legal and regulatory standards, maintaining patient confidentiality, and handling sensitive information responsibly. Ability to work under pressure, meet deadlines, and handle multiple tasks simultaneously.

Software and Technology

Skilled in using medical billing software and electronic health records systems. Familiarity with coding software and tools. Accurate and efficient data entry skills for processing patient information, billing codes, and insurance details. Ability to learn and adapt to new technologies and software updates. Proficiency in using office software for documentation and reporting.

Work Environment

The primary work environment is hybrid-based. This position requires two days a week in the office and three days remote. The noise level in the work environment is usually moderate. Must be able to lift, push, pull up to 50 lbs.

The mental and physical requirements described here are representative of those that must be

met by an individual to successfully perform the essential functions of this position.

Equal Employment Opportunity

OAW provides equal employment opportunity to all applicants and employees. OAW disapproves of, and will not tolerate, unlawful discrimination against any applicant or employee because of race, color, national origin or ancestry, gender (including pregnancy, childbirth, or related medical conditions), gender identity, age, religion, disability, family care status, veteran status, marital status, sexual orientation, or any other basis protected by local, state, or federal laws.