Receipt Posting Specialist - FT

Receipt Posting Specialist - FT

Busy North OKC billing office looking for an organized, self motivated and results oriented individual to fill a Full Time Receipt Posting Specialist position.

Position Summary:

The Posting Specialist position is responsible for posting to the current AR system all payments, adjustments, denials and zero payments that are received into the Central Business Office. They are to make sure that posted transactions to the system are balanced to the bank deposits on a daily basis.

Essential Functions:

• Must be able to analyze payments and adjustments to ensure compliance with managed care contracts, payment proposals, out of network policies, government payors, commercial payors and state workers compensation fee schedules.
• Must be a detailed oriented person who can handle stressful situations, multi-task a variety of responsibilities, possess basic mathematical skills and work under strict timelines.
• Must exhibit a basic working knowledge of Microsoft Office products.
• Proficient in 10-key posting.
• Must meet high productivity goals with minimal errors.
• Must be able to understand insurance explanation of benefits to determine how received payments should be posted, what adjustments are due and if the claim was processed in accordance to the applicable contract.
• Must be able to recognize and address payment issues with payors on behalf of HPI and be able to articulate the issue in the manner needed to resolve the claim.
• Employee is expected to maintain a positive and professional relationship with clients, physicians, facilities, co-workers, management, payors, banking contacts and other entities they come in contact with during the course of their daily activities.
• Employee is expected to be proficient in all systems, programs and processes associated with their current position within the CBO.
• Maintains working knowledge of third party contracts, insurance rules and regulations, policies, laws and guidelines that impact Central Business Office reimbursement and operations.
• Effectively working and cooperating with supervisors, co-workers and clients.
• Refraining from causing or contributing to disruption in the workplace.
• Regular and reliable attendance.
• Performs other duties as assigned.

Functional Accountabilities:

• Posts insurance and patient payments received from, but not limited to, lockboxes, electronic remittance advices, patients, mail, telephone and client offices to the appropriate accounts in the current AR system.
• Calculates and posts contractual adjustments to appropriate accounts.
• Posts zero payment transactions, denial adjustments and correspondence.
• Ensures that balances are transferred to the correct payor after payment and/or adjustments are posted so that the secondary or tertiary claims will drop for filing.
• Applies unapplied/unidentified payments to the designated account[s].
• Balances payment batches posted to the daily bank deposits.
• Contacts payors or patients if there is confusion on which account a payment should be posted and ensures the payment is posted correctly.
• Makes sure all payments and adjustments posted are accurate and follow established CBO processes and procedures.
• Maintains working knowledge of all third party contracts, regulations and fee schedules so that they can verify payments and adjustments as correct when posting assigned payment/adjustment batches.
• Completes and reports, cash logs or productivity logs that are assigned by the stated timelines.
• Notates accounts when underpayments are identified so that the account can be reviewed by the denial management team for a review and possible appeal.
• Maintains and follows list of payment exceptions given to each poster by management. Handles exceptions per instructions.
• Answers questions and provides guidance to other staff members regarding payment batches and interpretations of remittance advice.
• Alerts management of trends in inaccurate payments, denials or credit balances that may result from payor overpayments/underpayments or inappropriate payment and adjustment posting.
• Posts adjustments received from other HPI staff/teams. Ensures ending balance is correct, appropriate approval was received and CBO policy was followed.
• Documents actions taken on accounts in the current AR system. Ensures the notes are clear and understandable by others.
• Identifies ways to improve work processes and provides recommendations for new or revised procedures.
• Collaborates with management to implement positive changes relating to payment posting driving optimal financial outcomes and compliance with regulations.
• Makes sure all eob's that should be copied and distributed to other co-workers for handling are appropriately flagged for support to copy.
• Notifies manager of changes in reimbursement, abnormal remittances, incorrect batch calculations or other concerns regarding the daily posting.
• Research and correct errors which batch they are posting is out of balance.
• Meets all posting timelines as established by manager including end of the month closing.

What We Offer:

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs, HSAs, and Daycare FSA.
• 401(k) and access to retirement planning
• Employee Assistance Program (EAP)
• Paid holidays and vacation

Required Experience:

• Minimum 1 year experience in medical billing, collections or posting.
• HMS or Epic and Allscripts PM experience preferred.
• High School graduate or equivalent required.
• Some college preferred but not required.