Revenue Management

NOW HIRING!!

ORTHOPEDIC PAYMENT POSTING

Job Description: 

In this key role, you will be responsible for payment posting.  You must be highly motivated, productive, accurate, and analytical so that your accounts are resolved quickly and accurately.  In addition, you will be responsible for ensuring that all balancing procedures and documentation guidelines are met and must possess a thorough understanding of all aspects of payment posting and the explanation of benefits key data.

Utilizing your excellent verbal, written and listening skills, you will ensure that customer needs, posting timeliness and accuracy targets are met.

Additional responsibilities include working declines and secondary accounts on a daily basis, ensuring that claims are sent out, working from assigned manual and electronic work files and preparing daily reports. 

You will also prepare documentation and recommendations for refunds, as well as be expected to have experience in federal payor and commercial carrier guidelines and to follow procedures and policies of the institution.

HS/GED Diploma and 2-5 years experience are required; a Bachelor's degree is preferred.

>>Experience with NEXTGEN Billing System is highly preferred.

Knowledge of CPT and ICD9 medical coding to facilitate claims payment will be expected.

Job Qualifications: 

1. Reviews insurance Explanation of Benefits and posts payments to billing system.

2. Posts payments and ensures allowances, adjustments and write-offs are posted correctly.

3. May perform check payment reconciliations and complete deposit reports.

4. May reconcile electronic lockbox transactions

5. May reconcile electronic remittances (ERA) and EFT payments.

6. Posts declines and may process appeals

7. May investigate unidentified cash and resolve misdirected payments.

8. May process charge corrections and ensure balancing.

9. May process refunds for supervisory approval.

10. Mentors less experienced staff and may assist Billing Manager with training new employees.

11. Performs any other related duties.

Please Send your resume to :