Payment Posting Specialist: Billing & Reconciliation Pro

Aprima; Texas; On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare company is seeking a skilled candidate for a role involving the processing of insurance and patient payments. Responsibilities include working with electronic and paper transactions, reconciling payments, and providing account feedback. The ideal candidate should have a high school diploma, preferably two years of experience in physician billing, and strong analytical and communication skills. Familiarity with relevant software systems is preferred. Competitive work environment in compliance with HIPAA standards is assured.

Qualifications

• Preferably two years' prior experience in physician professional billing.
• Familiarity with CPT & ICD10 coding required.
• Experience with explanation of benefit forms (EOB) necessary.

Responsibilities

• Process ERA’s, Lockbox and mailed payments.
• Perform reconciliation of payment batches per client preference.
• Maintain strict confidentiality in adherence to HIPAA compliance.

Skills

Detail-oriented

Analytical skills

Communication skills

Customer service

Organizational skills

Team Player

Education

High school diploma/GED

Tools

Aprima PM practice management system

GE Centricity Business system

MS Excel

MS Word

Job description

Posting of insurance and patient payments, both paper and electronic. Balancing to clients preferred method of accounting.

Responsibilities:

• Process ERA’s, Lockbox and mailed payments

• Process ERA’s, Lockbox and mailed correspondence

• Reconciliation of Payment batches per client preference

• Provide feedback to team lead regarding any positive & negative occurrences on accounts

• Maintain strict confidentiality within medical practice and HIPAA compliance.

• Maintain productivity standards and goals set by the department and/or manager.

• Maintain standard quality measures and goals.

• Attend Meetings as required and/or participate in various committees as required

• Other duties as assigned by, Team Lead, Manager, Director, VP RCM.

Required Skills:

• High school diploma/GED

• Preferably two years’ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to:

- Explanation of Benefit forms (EOB)

- Credit balances (discounts and refunds)

- Insurance carrier billing requirements

- Collections

- Familiarity of payer provider enrollment

- CPT & ICD10 Coding

Core Competencies:

Accountability and Self-Management

• Must be detail-oriented and organized

• A self – starter capable of tracking to deadlines and meeting goals with little supervision required

• A high level of analytical and problem solving skills is expected

Team Player

• Ability to work autonomously and as a team player

Communication

• Excellent communication, customer service, and organizational skills

• Strong verbal and written communications

Innovation and Problem Solving

• Attention to detail and moderate analytical and problem solving skills is expected

Computer Skills

• Must possess general office skills and computer knowledge

• Strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred

• MS Excel Spreadsheet software, MS Word Processing software

Physical Demands:

• May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies.

• Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary.

• Employee must participate to help maintain the desirable work environment created by the management and company officials.

Equal Opportunity Employer
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