Medical Billing and Payment Posting Specialist

Community HealthNet is seeking a detail-oriented and focused Medical Billing and Payment Posting Specialist. The Medical Billing & Payment Posting Specialist essential duties include organization and time management skills, knowledge of medical billing and payment applications, adjustments and transfer to next responsible party to quickly and efficiently resolve account balances. Roles may be customized to focus on pertinent tasks assigned and collections activities but also requires flexibility in work assignments and support of other functions within the revenue cycle process.

ESSENTIAL JOB FUNCTIONS
? Monitor aging to ensure timely resolution of claims, reduction of future denials, ensuring accurate payment posting of accounts receivables and escalation of issues to management as identified
? Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims and report any problems, issues, or payer trends to management
? Audit insurance denial to resolve claims timely. Ability to analyze accounts and determine next appropriate action
? Work with payers and/or payer portals to determine reasons for denials and correct and reprocess claims for reimbursement in a timely manner
? Conduct insurance verification and reverification as needed through various tools when patients register for physician appointments
? Process third party payer correspondence, payments, refunds, and adjustments
? Accurately and thoroughly document the pertinent collection activities in appropriate systems
? Work as a liaison with all outside collection vendors to resolve claims
? Respond to all patient inquiries timely and resolve patient concerns
? Remain up to date on payer informational notices and changes
? Comply with all policies, practices, and procedures
? Maintains patient and confidentiality in accordance with HIPAA guidelines
? Adequate math skills for calculating accurate billing and collection data, and balancing patient accounts for proper payment allocation and payment posting

SUPERVISORY RESPONSIBILITIES: This position has no supervisory responsibilities THE FOLLOWING QUALIFICATIONS ARE NECESSARY ? High School Diploma or GED ? Associate degree or equivalent preferred; minimum 2 years related experience; or equivalent combination of education and experience ? Organizational skills ? Good troubleshooting skills ? Strong attention to detail ? Proficient with Word, Excel, Outlook ? Proficient in Medical Terminology ? Proficient in the use of a calculator and computer required ? Payment posting of patient copayments, coinsurance and patient balances for collections activities, reviews accounts of overpayments for refunds due to patient or insurance carrier ? Scan documents for patient registration, accountability of correspondence, and records retrieval ? EPIC Care billing System Work Queues, use, reporting, analysis and findings to ensure proper claims submission to insurance carriers ? Ability to work at desk, computer, EPIC Practice Management software, Microsoft office suite, multiple-line telephone system, copier, scanner, and fax machine

Benefit Conditions:
? Waiting period may apply

Benefits:
? Health insurance
? Dental insurance
? Vision insurance
? Retirement plan
? Paid time off
? Sick time off

Schedule:
? Monday to Friday
? 8 hour shift

This position works on-site from one location.

Job Type: Full-time

Pay: From $18.00 per hour

Expected hours: No more than 40 per week

Benefits:
? 401(k)
? 401(k) matching
? Dental insurance
? Employee assistance program
? Flexible spending account
? Health insurance
? Life insurance
? Paid time off
? Vision insurance

Schedule:
? 8 hour shift
? Day shift
? Monday to Friday

Education:
? High school or equivalent (Preferred)

Experience:
? billing: 2 years (Preferred)
? medical billing: 2 years (Preferred)

Ability to Commute:
? Merrillville, IN (Preferred)

Work Location: In person

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