Job Description:
Key Responsibilities:
1. Accurate Payment Posting:* Accurately post all insurance and patient payments by line item using medical claim billing software.
2. Meeting Payment Posting Deadlines:* Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable.
3. Interpretation of Explanation of Benefits (EOBs):* Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting.
4. Attendance at Staff Meetings and Educational Sessions:* Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices.
5. Additional Duties as Requested:* Perform additional duties as requested by the supervisory or management team to support departmental objectives.
6.Training and solving queries:* To help the team with their queries and concern, help the team to reach their goals and required accuracy while posting.
7. HIPAA Compliance:* Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes.
8. Data Security and Integrity:* Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements.
9. Revenue Cycle Performance Analysis:* Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis.
10. Policies and Procedures Development:* Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions.
Qualifications:* High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, Commerce/Arts or related field preferred.
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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