Payment Reconciliation Specialist

: Description:

Commonwealth Pain and Spine (CP&S) is one of the fastest growing, progressive, comprehensive pain management groups in Kentucky and Southern Indiana. Our team of friendly physicians are all board certified in pain medicine and anesthesiology and take the time to educate our staff. Our facilities are brand new with the latest technology. We have a team/family-oriented culture with great hours, competitive pay, benefits, and open interaction between our staff and management.

This role is responsible for researching, resolving, and reconciling all payment related issues. Youi will post Explanation of Benefits (EOB) on a daily basis and reviews EOBs for research. Responsible for balancing and closing batches daily. Ability to maintain strict confidentiality.

Job Duties & Responsibilities:

• Review data on insurance explanation of benefits (EOB's) to ensure accurate payment posting
• Access necessary online portals to obtain payment documentation
• Communicate effectively and professionally with team members and facilities to obtain information necessary to post payments accurately
• Accurately utilize the billing system
• Review and reconcile deposits accurately
• Reconcile deposit accounts against the general ledger system monthly
• Process recurring credit card payment for all locations
• Responsible for managing billing phone calls and voicemails
• Reviewing patient accounts prior to submitting to collections
• Assist with submitting accounts to collections
• Maintain confidentiality of patient care and business
• Demonstrate strong, professional communication and interpersonal skills with clients, public, managers and co-workers
• Maintain accurate and thorough records
• Demonstrate the ability to act as a team player in a professional and positive manner
• All other duties assigned including duties performed for affiliates, assigns, lessees, contractors or third parties

Requirements:

Required Skills & Abilities:

• Exceptional communication and interpersonal skills to interact effectively and tactfully with all levels of employees, management staff, patients, vendors and the general public
• Strong computer and phone skills, including Microsoft Office Suite experience
• Responds timely to requests, emails, voicemails, etc.
• Ability to handle multiple simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner
• High integrity, including maintenance of confidential information
• Regular and reliable attendance
• Exercises professional judgment and demonstrates good problem-resolution skills
• Eagerness and ability to work independently as well as part of a team with flexibility and willingness to learn and take initiative on variety of tasks and projects

Education & Experience:

• Must have high school diploma or general education degree (GED)
• 3 plus years' relevant work experience in healthcare
• Knowledge of insurance plans and their rules
• Basic CPT and ICD-10 coding knowledge
• Working knowledge of EMR and/or billing systems
• If required to travel for company related purposes:
• Active, valid driver 's license
• State minimum coverage vehicle insurance
• Must be able to pass driving history/motor vehicle check upon hire and maintain an acceptable record thereafter