Payment Processor

South-Texas-Radiology-Group,-P.a.; San Antonio (TX); On-site; USD 40,000 - 60,000; Full time

Job summary

South-Texas-Radiology-Group, P.a. is seeking a billing clerk responsible for posting payments and adjustments from EOBs and patient files in accordance with standard procedures. The role includes handling EORs, resolving posting issues, and ensuring accuracy of insurance information.

The position requires healthcare billing experience, strong communication skills, and proficiency with typing and 10-key input. Overtime and regular hours apply, with a team-focused environment in Texas.

Qualifications

• Healthcare billing experience with reading EOBs
• CPT and ICD-10 coding experience helpful
• Strong communication and interpersonal skills
• Typing 35 wpm and 10-key by touch

Responsibilities

• Process payments, adjustments, denials, and transfers from EOBs, electronic files, and/or patients in accordance with departmental procedures, standards and operational needs
• Post zero-dollar responses from EOBs and electronic files in accordance with departmental procedures, standards and operational needs
• Post Correspondence from EOBs and electronic files in accordance with departmental procedures, standards and operational needs
• Process EORs (Explanation of Review) for communication on accounts
• Troubleshoot accounts for billing and reimbursement errors
• Verify and correct insurance information prior to posting payment/credit
• Meet weekly goals with team to maintain timely payment posting
• Required to meet departmental quality and production standards
• Work error/action required reports, UNID, emails/inbox daily
• Resolve balancing/recoup issues, involve the Lead or AR Specialist when needed
• Complete daily time analysis; verify transactions entered in PAD are correct
• Work all remit credits, add insurance, etc. rejections daily to close and balance folders
• Assist peers and leads with inventory and oldest dates, meeting department and individual goals
• Act as backup to Customer Service department, taking patient calls on a rotating basis and as volume requires
• Become cross-trained to support other departmental needs, as directed or assigned.
• Perform other duties as required

Skills

Healthcare billing

EOB reading

CPT coding

ICD-10 coding

Cash applications

Communication

Typing 35 wpm

Education

High School Diploma or GED

Job description

Posts payments to patient accounts in accordance with departmental procedures, standards and operational needs.

Job Responsibilities:

• Process payments, adjustments, denials, and transfers from EOBs, electronic files, and/or patients in accordance with departmental procedures, standards and operational needs
• Post zero-dollar responses from EOBs and electronic files in accordance with departmental procedures, standards and operational needs
• Post Correspondence from EOBs and electronic files in accordance with departmental procedures, standards and operational needs
• Process EORs (Explanation of Review) for communication on accounts
• Troubleshoot accounts for billing and reimbursement errors
• Verify and correct insurance information prior to posting payment/credit
• Meet weekly goals with team to maintain timely payment posting
• Required to meet departmental quality and production standards
• Work error/action required reports, UNID, emails/inbox daily
• Resolve balancing/recoup issues, involve the Lead or AR Specialist when needed
• Complete daily time analysis; verify transactions entered in PAD are correct
• Work all remit credits, add insurance, etc. rejections daily to close and balance folders
• Assist peers and leads with inventory and oldest dates, meeting department and individual goals
• Act as backup to Customer Service department, taking patient calls on a rotating basis and as volume requires
• Become cross-trained to support other departmental needs, as directed or assigned.
• Perform other duties as required

Supervisory Responsibilities:

None

Experience / Skill Requirements:

• Healthcare billing experience with working knowledge of reading EOBs
• CPT and ICD-10 coding experience helpful
• Working knowledge of cash applications
• Excellent communication and interpersonal skills
• Type 35 wpm, excellent 10-key by touch

Education:

High School Diploma or GED

Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include "light duty" work or allow unpredictable or unrestricted absences.