As a Payment Poster you create and represent the lasting impression of our Practices and Revenue Cycle Team, who are integral to the growth and success of our organization. The Payment Poster supports the Practices and Providers by posting patient and insurance payments daily. As detail-oriented professionals, the Payment Poster reviews, records, and follows through on all incoming payments. This includes but is not limited to making sure payments and adjustments are posted for all dates of service, sending incorrectly paid EOB's to the Accounts Receivable team, and submitting refunds to the Refund Specialist for timely payout. Payment Posters ensure accurate information is conveyed to other aspects of patient care including Care Providers, Practice Managers, Accounts Receivable Specialists, and Revenue Cycle Leadership. Essential Duties & Responsibilities:
Posts all payments and adjustments daily
Initiates refunds of identified overpayments
Performs appropriate follow-up with RC Associate for payment
Enters refunds in a timely manner
Submits underpayments and overpayment information to appropriate RC Associate for follow-up
Performs weekly allocation of deposits
Ensures accurate transfer of patient account balances from legacy systems
Resolve all payments with missing Explanation of Benefits (EOB)
Close and update daily payment batches
Ensure line items adjustments are performed at time of payment
Be familiar with HIPAA and PHI guidelines
Familiarity with Medicaid filing and payment process
Research for possible posting errors
Verify expected reimbursement and adjustment based upon the provided contract list
Includes other responsibilities and duties as assigned based upon business needs or requirements
To resolve denials, produce secondary claims, or appeal payment discrepancies
Minimum Qualifications:
Knowledge of how BCBS South Carolina Dental, and/or Denta Quest / NC Tracks Medicaid (for Dental) process and pay out (Please specify which you have experience with)
Demonstrates a high degree of accuracy and analytical skills
Report problems and issues to the Revenue Cycle Supervisor and status of workload for the payment posting, zero voucher posting, and refund processing for individual assigned Billing Areas
Must have 2+ yrs experience in medical/dental insurance and/or cash posting and an understanding of the A/R cycle
Team player attitude, energetic, able to multi-task, with a focus on excellent customer service are key
Must be a self-starter with strong organizational skills
Preferred Qualifications:
Previous experience with Dental EHR highly preferred
3-4 years previous billing experience, with emphasis on major medical claims
Knowledge in denial management, EOB posting, contracts/fee schedules, daily/monthly bank and posting reconciliation for ambulatory surgery centers a plus