Payment Posting Team lead Essential Job Functions
- Maintain complete, timely, and accurate documentation of all payments, denials and adjustments.
- Analyze EOB's, balance insurance and patient payments; and perform adjustments and credits as needed all within a clearly defined month-end close goal.
- Demonstrate knowledge and understanding of Explanation of Benefits (EOB's) or Electronic Remittance Advice (ERA) Define the purpose of an EOB /ERA
- Read and understand all aspects of an EOB/ERA - One should be able to define and verbalize how the following terms pertain to the payment process: billed amount; allowed amount; deductibles; coinsurances; co-payments.
- Meet interdepartmental posting goals.
- Assure the team meets monthly closing deadlines.
- Demonstrate the ability to post in all systems.
- Post all line-item payments.
- Post and document all retractions/off sets.
- Post all cash or credit card payments.
- Run and analyze balancing reports weekly for all team members to ensure accurate posting.
- Minimize posting errors.
- Maintains confidentiality and compliance with all company and patient information in accordance with federal, state, and local regulations, HIPAA regulations and Company policies.
- Monthly audits of payment posters.
- Review and audit monthly recon sheets to ensure all missing EOBs have been received and payments posted to accounts; reversed from recon.
- Assist management to audit credit reports and apply adjustments, as necessary.
- Assist management audit "Paid to patient" reports and ensure all payments/adjustments have been applied.
- Must train new hires in house for 90 days minimum.
- Will report any trends or issues to the direct manager.
- Other duties as assigned.
Basic Qualifications
- High School Diploma or Equivalent, required.
- 5 years' work experience in Payment Posting
- 45+ WPM
- Excellent Written and Oral Communication
- Detailed Oriented and Time Management
- Computer Savvy!! The availability to work overtime as needed.
Banner Nutex Health is the premier innovative service provider in the emergency care industry. Our specialists provide unparalleled expertise with the knowledge and competency to make your vision a reality. You can trust Nutex Health to deliver a turnkey process from real estate acquisition, design, and development of the ER facility to staffing, training, and operations. Nutex Health is committed to providing equal employment opportunity and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, status as a protected veteran, or membership in any other class protected by federal, state, or local law.