Payment and Reconciliation Specialist

Jobtailor; Phoenix (AZ); On-site; USD 38,000 - 52,000; Full time

Job summary

Jobtailor in Phoenix is seeking a medical billing professional to manage accounts receivable posting, including charges, payments, and adjustments, using automated systems and team processes.

You will interpret explanations of benefits, upload 835 remittance files into the patient accounting system, and ensure accurate posting while maintaining HIPAA compliance and strong communication with physicians and staff.

Qualifications

• Minimum two years' experience in medical billing and/or cash applications in a healthcare environment.
• Must communicate effectively with physicians, patients, and the public.
• Prefer previous cash posting experience in a multiple lockbox environment.

Responsibilities

• Understand AR posting process for medical billing incl. charges, payments, adjustments.
• Post financial transactions via automated systems and team processes.
• Interpret insurance explanation of benefits for accurate posting.
• Retrieve and upload 835 remittance files into the patient accounting system.

Skills

Medical billing

Accounts receivable

Communication

Insurance processing

Tools

Patient accounting system

Remittance processing

Job description

Responsibilities

• 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.

Requirements

• 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.