Payment and Reconciliation Specialist- Hybrid
Healthcare Outcomes Performance Co. (HOPCo)
B enefits :
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
- Competitive Health & Welfare Benefits
- Monthly $43 stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan after 6 months of service with company match (Part-time employees included)
- Employee Assistance Program that is available 24/7 to provide support
- Employee Appreciation Days
- Employee Wellness Events
- A minimum of two years' experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
- Prefer previous cash posting experience in a multiple lockbox environment.
- Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
- Has an understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.
- Posting financial transactions through the use of automated systems and team processes.
- Accurately interprets insurance explanation of benefits to ensure proper posting.
- Retrieves and uploads 835 remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.
- Participation in optimizing productivity within the area.
- Maintains knowledge of the work area and optimizes the use of available technology.
- Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.
- Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.
- Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.
- Processes and posts refund checks as received into the patient accounting system.
- Establishes and maintains effective communication with physicians, staff, and other departments as required.
- Accepts and completes additional requests from the Cash Applications Supervisor.
- Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.
- Effectively forwards accounts requiring work up or resubmission to the business office staff.
- #1 for Orthopedic Practices
- #1 for Healthiest Healthcare Employers
- #3 for Best Healthcare Workplace Culture
- Winner in Best Places to Work
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Vacancy posted 2 days ago
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