Payment Posting Reconciliation Specialist

Job Description

Job Description

The key responsibilities of the Payment Posting – Reconciliation Specialist include but not limited to:

Duties and Responsibilities

• Ensure prompt and regular attendance, meeting BHG attendance standards.
• Accurately process manual and electronic remittance advice (ERA) payments and adjustments.
• Balance all daily deposits across centers, ensuring cash reports are up to date.
• Collaborate with the accounting department on bank reconciliations, cash tracking, and cash management operations.
• Interpret and resolve payment issues through extensive primary and secondary research, including locating missing EOBs and insurance payments.
• Work across multiple systems to post and reconcile insurance payments accurately.
• Investigate and resolve any discrepancies related to deposits or payment postings.
• Communicate pertinent information to team members and management as needed.
• Prepare daily and monthly cash reports and identify underpayments, overpayments, or credits for resolution.
• Retrieve missing payment information from payers via various channels (phone, portals, clearinghouses).
• Review account debits and credits, taking necessary action to address any issues.
• Perform other duties as assigned by the supervisor.

Regulatory

• Responsible for complying with all federal, state and local regulatory agency requirements
• Responsible for complying with all accrediting agencies

Marketing and Outreach

• Participate in community and public relations activities as assigned.

Professional Development

• Responsible for the achievement of assigned specific annual goals and objectives
• Demonstrates the belief that addiction is a brain disease, not a moral failing
• Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members
• Establishes and maintains positive relationships in the workplace
• Can work independently and under pressure while handling multiple tasks simultaneously
• Makes decisions and uses good judgment with confidential and sensitive issues
• Deals appropriately with others in stressful or other undesirable situations

Training

• Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies
• Attend conferences, meetings and training programs as directed
• Participate in and/or schedule and attend regular in-service trainings

Other

• Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment

Minimum Requirements

The ideal candidate must hold and maintain a valid driver’s license. Experience and understanding of chemical addiction is preferable. In addition to meeting the qualifications, the ideal candidate will embody the following characteristics and possess the knowledge, skills and abilities listed below:

Qualifications

The Payment Posting – Reconciliation Specialist must have the following qualifications.

• 5+ years of experience in medical billing, coding, collections, payment posting, and reconciliation.
• Strong knowledge of Medicare, Medicaid, Managed Care, and Commercial Insurance plans.
• Advanced reconciliation and analytical skills specific to medical billing processes.
• Intermediate proficiency in Excel and familiarity with clinical terminology, ICD-10, and CPT codes.
• Ability to read and interpret Explanation of Benefits (EOBs), HCFA regulations, and HIPAA compliance requirements.
• Proficiency in 10-key touch and keyboarding skills.
• Excellent verbal and written communication skills.
• Strong interpersonal skills and the ability to foster teamwork.
• Superior attention to detail and organizational abilities.
• Proficiency with Microsoft Office Suite or related software.

In addition to meeting the qualifications, the ideal candidate will embody the following characteristics and possess the knowledge, skills and abilities listed below:

• High integrity
• Excellent verbal and written communication skills
• Sound judgment
• Efficient
• Self-starter
• Strong interpersonal communication skills
• Valid driver’s license.
• Healthcare experience preferred.
• Experience in front desk, admissions, billing, and/or collections.
• Excellent verbal and written communication skills.
• Strong customer service and interpersonal communication skills.
• Accurate data entry and basic keyboarding skills.
• Ability to work independently under pressure and handle multiple tasks simultaneously.
• Ability to enforce fee collection policies.
• Basic computer/word processing skills.
• Knowledge and use of typical office equipment (calculator, fax machine, copier, computer, telephone, postage meter, scales, scanner, and computer programs).
• Knowledge of basic math, accounting, and accounts receivable.

Physical Requirements and Working Conditions

The physical demands described here are representative of the requirements that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions to the extent such accommodation does not create an undue hardship on the business.

• Communicate effectively by phone or in person.
• Vision adequate to read correspondence and computer screens.
• Prolonged sitting, some bending, stooping, and stretching.
• Manual dexterity for operating office equipment.
• Variable workload and periodic high stress.
• Standard medical office environment.
• Interaction with patients with various health and legal issues.
• Extended keyboarding periods.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by team members assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of team members so classified. All team members may be required to perform duties outside of their normal responsibilities from time to time, as needed, and this job description may be updated at any time.

BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.