Medical Payments Poster

Gryphon-Healthcare; Houston (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Gryphon-Healthcare is seeking a meticulous Medical Payments Poster in Houston, TX to post insurance payments and patient payments based on explanations of benefits. You will collaborate with insurance carriers and internal teams and use Centricity to maintain accurate accounts.

The ideal candidate has at least 2 years of medical payments posting experience, strong Excel skills, and familiarity with HIPAA guidelines.

Qualifications

• Minimum of 2 years medical payments posting experience.
• Knowledge of Explanation of Benefits and medical billing practices.
• Strong knowledge of HIPAA regulations and patient data confidentiality.

Responsibilities

• Post payments from insurance carriers into internal systems daily.
• Post patient payments from bank lock-box into systems.
• Reconcile insurance payments with bank deposits.
• Post contractual adjustments and transfer patient responsibility items.
• Report on differences between payments and contracted rates.

Skills

Medical payments posting

Insurance carrier knowledge

HIPAA compliance

MS Excel advanced

Attention to detail

Data entry

Education

High School Diploma

Medical Billing Certification

Job description

We are seeking an enthusiastic and detail-oriented Medical Payments Poster to join our team. In this role, you will post payments from insurance companies based on the explanation of benefits and patient payments on accounts.

The ideal candidate will have prior medical payments posting experience. You will work closely with insurance carriers and internal teams to post payments using our internal system, Centricity.

The Ideal Candidate Will Have:

• Minimum of 2 years medical payments posting
• Strong experience with all major insurance carriers including in network/out of network services. Knowledge of medical billing and collection practices
• Knowledge of understanding and interpreting insurance Explanation of Benefits.
• Knowledge of basic medical coding and third-party operating procedures and practices. Maintains confidentiality of patient data and medical records in compliance with HIPAA guidelines and regulations
• Strong Microsoft suite experience, advanced in excel

Job Description – Medical Payments Poster

Location: Houston, TX 77041

The Medical Payments Poster is responsible for posting payments from insurance companies based on the explanation of benefits and patient payments on accounts.

DUTIES AND RESPONSIBILITIES

• Daily electronic or manual posting of payments from insurance carriers into internal systems.
• Daily posting of patient payments from the bank lock-box into internal systems.
• Reconciling and balance insurance payments to bank deposits.
• Post contractual adjustments to patient accounts and transfer co-pays, deductibles and/or co-insurance amounts to patient responsibility.
• Reporting on differences in payments vs contracted rates based on the explanation of benefits.
• Route all insurance denials to insurance accounts receivable teams for re-submission and appeals.
• Problem solving by identifying and resolving insurance payment discrepancies.
• Assist with claim re-submission projects when necessary.
• Continued Medical Education to stay abreast of current issues, trends and changes in the laws and regulations governing medical billing.
• Provide support to other members of the billing department team as needed.
• Performs other duties as assigned.

COMPETENCIES:

• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
• Design - Generates creative solutions; Translates concepts and information into images; Uses feedback to modify designs; Applies design principles; Demonstrates attention to detail.
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Ethics - Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
• Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values; Supports affirmative action and respects diversity.
• Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals.
• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.

EDUCATION REQUIREMENTS

High School Diploma

Medical Billing Certification preferred

EXPERIENCE REQUIREMENTS

2 years medical payments posting

SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

Strong experience with all major insurance carriers including in network/out of network services

Knowledge of medical billing and collection practices

Knowledge of understanding and interpreting insurance Explanation of Benefits

Knowledge of basic medical coding and third-party operating procedures and practices

Experience posting insurance, patient, EFT, ACH, check, and credit-card payments

Maintains confidentiality of patient data and medical records in compliance with HIPAA guidelines and regulations

EMR, EDI and Commercial Insurance Company systems

Detail oriented and accurate data entry skills

Strong organizational skills and the ability to prioritize workload

Must be able to work well in a team environment

Strong Microsoft suite experience, advanced in excel

Basic computer literacy including keyboarding skills, ability to utilize Outlook, and the ability to navigate in a Windows environment

Must be able to write and speak effectively in English

Bi-lingual is helpful but not required

WORKING ENVIRONMENT

Ability to work in a fast-paced, high volume and dynamic environment.

Able to flex hours and overtime to meet needs related to unanticipated volume, changes and/or problems.