Posting Resolution Specialist

Women's Health Connecticut; Rocky Hill (CT); Hybrid; USD 40,000 - 60,000; Full time

Job summary

A healthcare organization in Rocky Hill, CT is seeking a Full-time Posting Resolution Specialist to manage payment processing and resolution tasks. This role involves daily work with practice management systems, handling payment adjustments and refunds while maintaining confidentiality in accordance with HIPAA regulations. Qualified candidates should possess prior experience with medical insurance collections and excellent communication skills. The position offers a hybrid working arrangement, enhancing work-life balance and flexibility.

Qualifications

• Prior experience with medical insurance collections, reconciliation, payment posting and processing refunds.
• Computer skills evidenced by proficiency and/or training with applicable software.
• Ability to set priorities and meet established deadlines.

Responsibilities

• Daily work within practice management systems to reconcile payments and adjustments.
• Research and resolve unpostable items.
• Post payments in practice management system when needed.

Skills

Medical insurance collections experience

Payment posting

Strong working knowledge of Microsoft Office

Excellent written and verbal communication skills

Good mathematical ability

Education

High School Diploma or GED

Tools

Practice management systems

Job description

Women’s Health Connecticut is seeking to hire a Full-time Posting Resolution Specialist at our corporate business office in Rocky Hill, CT. (Hybrid working arrangement)

Employment Type: Full-time, 40 hours per week

Schedule: Monday- Friday, Hybrid- 2-3 days per week in-office

Reports to: Director of RCM

Position Summary: Women’s Health CT is currently seeking a Posting Resolution Specialist to process, research and resolve all tasks and functions associated with payments, adjustments and refunds that have been posted by third party, internal and external customers.

Essential duties and responsibilities:

• Daily work within practice management systems to reconcile payments and adjustments
• Research and resolve unpostable items
• Manage multiple priorities, monitoring multiple dashboards to identify outstanding tasks
• Perform month end close activities within the practice management system
• Post payments in practice management system when needed
• Retrieve remittance advice from payers and upload to practice management system as needed
• Submit and manage cases/requests for corrections within practice management system
• Manage refund submissions to Finance
• Investigate, resolve and process returned refund checks in preparation for annual escheatment filing
• Provide trending analysis of data and recommend process changes or education to prevent ongoing issues
• Review patient account to ensure claim processed correctly and that refund is appropriate
• Follow customer specific protocols to apply patient credits timely and refunding when applicable
• Contact insurance carrier to research payments and/or determine correct method of refund
• Utilize insurance websites to research claim statuses
• Run reports and communicate with management across all systems
• Evaluate all identified unallocated payments to guarantee proper settlement and or refund
• Respond to customer inquiries timely
• Provide training to customers where needed on posting related tasks
• Trend and communicate all issues to management
• Develop and maintain strong understanding of department process and procedures
• Participate in proactive team efforts to achieve departmental and company goals
• Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy and all HIPAA (Health Insurance Portability and Accountability Act) mandates.
• Other duties as assigned by management

Skills/qualifications:

• High School Diploma or GED
• Prior experience with medical insurance collections, reconciliation, payment posting and processing refunds
• Computer skills evidenced by proficiency and /or training with applicable software
• Strong Working knowledge of Microsoft Office Suite
• Ability to set priorities and meet established deadlines
• Excellent written and verbal communication skills
• Knowledge of CPT and ICD coding is helpful, but not necessary
• Good mathematical ability.
• Ability to remain seated for up to 8 hours per day.
• Ability to work in fast paced environment.

Qualified candidates are encouraged to apply to learn more about all the position has to offer!

The Job responsibilities provided are intended to be a summary of the job duties. In no instance should the duties, responsibilities, and requirements included in a job description constitute as being all-inclusive. The Company and authorized management personnel reserve the right to review, change, add and/or delete duties, responsibilities, and requirements on a job description as necessary.