Payment Posting

Description

Essential Functions:

· Posts all payments, adjustments and denials to appropriate patient account in the billing system per contractual obligations with clients

· Processes all electronic fund transfers (EFTs) from the clearinghouse for upload into the billing system

· Identifies and researches issues related to unpaid or rejected claims and communicates these trends to their supervisor and assigned collector on the account

· Identifies any cash projection shortages on a weekly basis and communicates with collector and management

· Runs and analyzes daily balancing report to insure accurate posting

· Interacts with third party payers, patients or clients to resolve payment posting issues 

· Processes credit card payments received 

· Responds to inquiries from clients or co-workers in a timely and professional manner 

· Completes additional adjustments in the billing system initiated and authorized by the client

· Meets monthly closing deadlines 

· Meets all productivity standards established by management

· Applies pre-paid balances

· Assists with client support as assigned

· Assists with client training as assigned

· Identifies overpayments and communicates with the client per guidelines

· Shows evidence of knowledge of insurance payer guidelines and maintains this knowledge by participating in educational activities including but not limited to reviewing insurance bulletins, attending seminars or reviewing policies and updates on third party payer websites

· Responsible for daily, weekly, and monthly reporting and ensuring deadlines for reporting are met

· Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations 

· Conducts self in accordance with IncreMedical’s employee manual

· Complies with all local, state, federal and corporate compliance regulations governing employers, employees and healthcare services

· Performs other duties or special projects as assigned

Reporting Relationships

The Payment Poster reports directly to Director of Reimbursement for all employment matters.

POSITION QUALIFICATIONS

Education/Training: 

High school diploma or equivalent with courses in bookkeeping, accounting, and mathematical skills OR an equivalent amount of work experience in a healthcare or related setting.

Experience/Skills: 

Demonstrate understanding of medical reimbursement requirements and terminology.

Good communication skills (written and verbal including telephone and business etiquette). Ability to use all necessary office equipment, faxes, copiers, etc. Ability to interact well with other staff members, customers, field associates and businesses. Ability to type 60 words per minute preferred. Strong customer service skills and ability to interact well with customers (patients/clients, referrers, host site staff vendors, general public, co-workers and supervisors). 

Compliance

Required to comply with federal, state, local, professional, IncreMedical, and host facility regulations, policies, etc. as well as any outside accrediting agency requirements. 

Physical and Sensory Demands

Good general health and stress coping ability. Full mobility and ability to participate in vigorous activity. Ability to clearly and effectively communicate with all constituents (patients, families, peers, and other healthcare team members) as needed. Must be physically able to lift, support and move patients. 

Working Conditions

OSHA Task Category III: Tasks of employment involve no contact with moist body substance, non-intact skin or mucous membranes. The employee must have the ability to perform essential functions without posing a “direct threat” in the workplace.

Physical Demand Capacity Levels

Requires manual dexterity and general strength and endurance. Position requires the following capacities 1-33 % of total work time.

Lifting---routinely loads of 5-35 lbs. from:

-Floor to waist, Waist to shoulder, Shoulder to overhead

Carrying---routinely loads of 5-10 lbs. for 40-50 feet

Pushing---routinely loads of 5-150 lbs. on casters, runners, or pulleys

Sustaining a grip---routinely for 1-2 minutes of 40-50 lbs.

Machines, Tools, Equipment and Work Aids Used

Office supplies and equipment including but not limited to:

Electronic equipment, computer and phone.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as exhaustive of all responsibilities, duties, and skills required of personnel so classified. 

Requirements

Experience/Skills: 

Demonstrate understanding of medical reimbursement requirements and terminology.

Good communication skills (written and verbal including telephone and business etiquette). Ability to use all necessary office equipment, faxes, copiers, etc. Ability to interact well with other staff members, customers, field associates and businesses. Ability to type 60 words per minute preferred. Strong customer service skills and ability to interact well with customers (patients/clients, referrers, host site staff vendors, general public, co-workers and supervisors). 

Education/Training: 

High school diploma or equivalent with courses in bookkeeping, accounting, and mathematical skills OR an equivalent amount of work experience in a healthcare or related setting.