Support Service Rep II - Payment Poster

Sarasota Memorial Health Care System; Sarasota (FL); On-site; USD 42,000 - 66,000; Full time

Job summary

Sarasota Memorial Health Care System is seeking an experienced billing specialist to accurately post payments for physician services and verify CPT-4 codes and modifiers to ensure proper reimbursement.

The position requires handling remittances, calculating contractual allowances, and maintaining clear communication with physicians, office managers, and staff to resolve posting issues while complying with third-party regulations.

Qualifications

• Two years of Medicare/Medicaid/commercial billing and collections experience.
• Ability to analyze problems and follow through to resolution.
• Ability to meet and greet public and handle difficult situations diplomatically.
• Clear and distinct speaking voice.
• Ability to operate an adding machine quickly and accurately by touch.
• Ability to use standard office equipment.
• Basic mathematical, organizational, and communication skills.
• Basic knowledge of Managed Care remittance and adjustment process.

Responsibilities

• Post payments for physician services accurately and timely.
• Review modifiers and CPT-4 codes to ensure proper reimbursement.
• Ensure payments are posted daily and at month end.
• Analyze remittances to ensure correct reimbursement and denials posting.
• Compute and post contractual allowances to minimize AR.
• Handle incoming and outgoing mail and respond to inquiries.
• Stay compliant with third party regulations and updates to fee schedules.
• Maintain timely communications with SMH staff regarding posting issues and recovery.

Skills

Communication skills

Customer service

Problem solving

Mathematical ability

Organizational skills

Typing 30 wpm

Interpersonal skills

Education

HS Diploma, GED or Certificate

Associate's degree

Tools

Adding machine

Windows-based software

Job description

Job Summary

Accurately posts payments for all physician services in a timely manner, reviews and verifies appropriate usage of modifiers and CPT-4 codes to ensure appropriate reimbursement. Demonstrates flexibility in scheduled hours to ensure all payments are posted daily and at month end. Analyzes remittances to ensure accurate reimbursement has been received and denials are posted correctly. . Responsible for calculating and posting contractual allowances accurately and timely keeping the AR to a minimum. Responsible for incoming and outgoing mail. Researches and answers customer's questions. Interacts with FPG Physicians, Office Managers CBO staff and other appropriate SMH staff to review payment posting issues. Responsible for keeping abreast of and complying with all third party regulations. Responsible for ensuring all fee schedules are kept current. Handles all correspondence and all communications in a timely manner. Job knowledge is section specific. Ability to demonstrate Customer Service Recovery, be flexible and adapt to changes in growth within the CBO Department.

Required Qualifications

• - Require two (2) years of experience working with Medicare, Medicaid and commercial billing and collections.
• - Require the ability to analyze problems and consistently follow through to resolution.
• - Require the ability to meet and greet public and handle difficult situations diplomatically.
• - Require a clear and distinct speaking voice.
• - Require the ability to operate an adding machine quickly and accurately by touch.
• - Require the ability to use standard office equipment.
• - Require basic mathematical, organizational, and communication skills.
• - Require basic knowledge of Managed Care remittance and adjustment process.

Preferred Qualifications

• - Prefer an Associate's degree or two (2) years of equivalent experience.
• - Prefer two (2) years of experience in utilizing Windows based software applications.
• - Prefer the ability to type thirty (30) words per minute for CRT and PC input.
• - Prefer general knowledge of ICD-10 and CPT coding.
• - Prefer financial or banking experience.

Mandatory Education

HS EQ: High School Diploma, GED or Certificate

Preferred Education

Required License and Certs

Preferred License and Certs

Employment Screening Requirements

As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/