Payment Poster

Hudec Dental; Brecksville (OH); On-site; USD 25,000 - 29,000; Full time

Job summary

Hudec Dental is seeking an Insurance Coordinator/Payment Poster to facilitate relationships with insurance providers and ensure timely payments for services rendered. The role focuses on accurate posting of EFTs and insurance payments, review of EOBs/DOBs, and proactive follow-up actions to maximize reimbursement.

The candidate should bring 2–5 years of dental office experience, with at least 1 year in a supervisory or lead capacity, and an associate degree in a business-related field.

Qualifications

• Education: Associate Degree in a Business-Related Field (or equivalent).
• Experience: 2–5 years Dental Office experience with at least 1 year supervisory or lead experience.

Responsibilities

• Maintains and updates databases/spreadsheets by entering new and updated patient claim information.
• Verifies status of patient claims with insurance companies.
• Tracks and follows up on pending and processed claims for payment.
• Posts claims and EFTs from insurance company portals.
• Posts patient checks and records Mastercard/Visa payments received daily.
• Requests documentation or changes to payment methods as needed.
• Reviews EOBs and DOBs; takes action to maximize receipts; may resubmit claims with additional information.
• Develops office-specific action plans to address DOBs and prevent recurrence.
• Audits accounts with unearned credits; assists offices with claims research and issue resolution.

Education

Associate Degree in a Business-Related Field

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Payment Poster

Salary Range: $18.00 To $21.00 Hourly

Job Title: Claims & Payment Poster

Basic Function:

The primary function of the Insurance Coordinator/ Payment Poster is to assist in facilitating all relationships between Hudec Dental and all insurance companies providing payment for services to ensure accurate and timely payment for all services provided, to improve the understanding of how to utilize the benefits available to Hudec Dental’s best interests and otherwise contribute to the continued success and profitability of Hudec Dental.

Essential Duties and Responsibilities:

The following is a list of responsibilities associated with the Insurance Coordinator/ Payment Poster but is not exhaustive nor a complete, comprehensive list of the duties required and expected of the Insurance Coordinator; additional duties may be assigned as needed.

• Maintains and updates database(s)/spreadsheet(s) by entering new and updated patient claim information.
• Verifies status of patient claims with various insurance companies
• Tracks and follows up on pending and processed claims for payment
• Charges claims out on insurance company portals
• Retrieval of Electronic Funds Transfers (EFT) through insurance company portals
• Post all Medicaid, DentaQuest, Cigna HMO and CompBenefits EFTs in addition to HMO checks that are cap monthly payment s
• Post all patient checks and record Mastercard/Visa payment s received daily
• Request all virtual checks to be changed to paper checks
• Request additional documentation from offices
• Receive and post all insurance payment s ; ensure that all adjustments resulting from insurance company receipts are recorded timely, accurately, and consistently.
• Review all Explanation of Benefits (EOB) and Denials of Benefits (DOB), determine necessary follow-up action and take such action as required to ensure the maximum allowable receipt by Hudec Dental. Typically, this will require that claims be resubmitted with additional information.
• Determine and evaluate trends noticed during the review of EOB’s and DOB’s. Develop action plans on an office specific basis such that all claims are ultimately paid based on the initial development of said action plans to assist the offices in understanding all DOB’s, make applicable corrections in fee schedules to prevent recurrence.
• Initiate required adjustments, refunds, and write-offs of accounts, subject to appropriate approval, identified while posting payment s .
• Audit accounts with unearned credits
• Assist offices with claims research and issue resolution
• Creatingand submitting secondary claims daily
• Resolve problems in a timely manner by clarifying issues; research and explore answers and alternative
• Open and sort all mail: US Mail and office mail. Update incorrect addresses returned by US Mail.
• Assist answering phone calls
• Posting patient patient received via mail
• Other duties as assigned

Requirements:

• Education: Combination of education and experience normally represented by an Associate Degree in a Business-Related Field
• Experience: 2-5 years Dental Office experience/knowledge with at least 1 year demonstrated experience as a supervisor or lead
• Computer Skills: Clinical software used in the office, Microsoft Office
• Language Skills: Ability to respond to patient inquiries, and effectively communicate with insurance companies and others within the organization.
• Ability to effectively present information to insurance companies and co-workers

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