Full Description
Assure Integrity in Billing and Payment Posting Executive
Job Description
In charge of the last stage of the billing cycle, when payments are applied to patient accounts, the Payment Posting Executive plays a crucial part in the Revenue Cycle Management (RCM) process. Accurately recording payments from patients and insurance companies (via ERAs or EOBs), comparing the amounts to invoiced prices, and spotting any underpayments or denials are all part of this job. The Payment Posting Executive makes sure that the accounts receivable (AR) balance is correct and gives the AR team the information they need to pursue unpaid claims. Maintaining the financial integrity of the healthcare provider's practice requires high accuracy and quickness.
Responsibilities
Electronic Remittance Advices (ERA) can be downloaded and posted, and the Explanation of Benefits (EOB) can be manually entered into the billing system on paper.
Patient Payment Posting: Keep track of and apply co-pays, deductibles, and co-insurance payments that are received directly from patients.
Denial Identification: Determine and classify claim denials, then forward them to
the coding team or AR for resolution.
Adjustment Entry: Utilize discounts, write-offs, and contractual adjustments in accordance with the insurance provider's charge schedule.
Reconciliation: To make sure that the total payments recorded in the software correspond to the actual deposits in the bank account, do a daily bank reconciliation.
Secondary Claims Processing: After the original payment has been posted, determine which claims need to be billed to secondary or tertiary insurance providers.
Skills:
Analytical Skills: The capacity to comprehend different remark codes and study and analyze complicated insurance EOBs.
Mathematical Proficiency: Excellent foundational math abilities for daily batch balancing, co-insurance, and adjustment calculations.
Software Competency: Knowledge of advanced Microsoft Excel and RCM platforms (such as Athenahealth, NextGen, and Brightree).
Attention to Detail: A strong emphasis on spotting minute differences that can result in financial imbalances.
We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com