Payment Posting Specialist

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you!

Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees.

Position Summary

This position works with a professional team of physicians and other staff who are trained in the medical and surgical specialty of dermatology with the purpose to be patient focused with the objective of delivering superior patient care and ensuring a positive patient experience and outcome.

This position completes tasks associated with posting, adjusting, and monitoring patient accounts receivables. Position proactively researches, identifies, and rectifies any circumstance affecting delayed submission or payment of accounts. Position communicates accounts receivable issues proactively to management to ensure compliance and accuracy. Position performs various administrative and clerical duties needed to support revenue cycle functions as needed. Position reports to the Supervisor, Payment Posting and/or Director, Cash Management.

Essential Responsibilities

• Completes posting of all payments and adjustments at the patient account level in a timely and accurate manner, balancing to the bank deposit daily.
• Contact patients, insurance or third-party administrators when clarification of information is needed to successfully post payment.
• Call, chat, email insurances to resolve payments/offset questions
• Check websites for additional information to resolve payments/offset issues
• Work on recoupment accounts to resolution.
• Research and resolve insurance overpayments and credits.
• Processes patient refund requests and manages refund register.
• Assists with monthly close functions including month end balancing.
• Review all remittance advices for accuracy to identify errors or questionable data. Manages time to complete work in timely manner and be a team player.
• Meets productivity requirements as established by organization and external benchmarks.
• Proactively engages other operational personnel to review and resolve issues as needed.
• Provides professional assistance for patient billing calls.
• Keep up-to-date with current with payer guidelines and reimbursement policies (basic knowledge).
• Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
• Adheres to Code of Conduct and Mission & Value Statement.

Requirements

• High school graduate or GED.
• 1-3 years of Payment Posting in a Medical Setting.
• Experience with Accounting , EFT/ERA setup is a plus.
• Mod Med/EMA practice management system experience is a plus.
• Ability to read and understand Explanation of Benefits is crucial.
• Knowledge of third-party billing and collection requirements to include Medicare, Medicaid and Managed care.
• Must have general knowledge in posting recoupments and reversals.
• Must have working knowledge of excel spreadsheets .
• Must be highly professional in appearance, tone and delivery and an effective communicator.
• Must be team-oriented and have demonstrated skills in working in a team environment.
• Dedicated to follow-thru and results.

Benefits

• Competitive Pay – Attractive compensation to reward your hard work
• Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered
• Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
• Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
• Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans
• Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
• Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security
• Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges
• Exclusive Employee Discounts – Save on products and services with special discounts just for you
• Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team