Job Purpose:
Posting of insurance and patient payments, both paper and electronic. Balancing to clients preferred method of accounting.
Responsibilities:
- Process ERA’s, Lockbox and mailed payments
- Process ERA’s, Lockbox and mailed correspondence
- Reconciliation of Payment batches per client preference
- Provide feedback to team lead regarding any positive & negative occurrences on accounts
- Maintain strict confidentiality within medical practice and HIPAA compliance.
- Maintain productivity standards and goals set by the department and/or manager.
- Maintain standard quality measures and goals.
- Attend Meetings as required and/or participate in various committees as required
- Other duties as assigned by, Team Lead, Manager, Director, VP RCM.
Required Skills:
- High school diploma/GED
- Preferably two years’ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to:
- Explanation of Benefit forms (EOB)
- Credit balances (discounts and refunds)
- Insurance carrier billing requirements
- Collections
- Familiarity of payer provider enrollment
- CPT & ICD10 Coding
Core Competencies:
Accountability and Self-Management
- Must be detail-oriented and organized
- A self – starter capable of tracking to deadlines and meeting goals with little supervision required
- A high level of analytical and problem solving skills is expected
Team Player
- Ability to work autonomously and as a team player
Communication
- Excellent communication, customer service, and organizational skills
- Strong verbal and written communications
Innovation and Problem Solving
- Attention to detail and moderate analytical and problem solving skills is expected
Computer Skills
- Must possess general office skills and computer knowledge
- Strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred
- MS Excel Spreadsheet software, MS Word Processing software
Physical Demands:
- May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies.
- Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary.
- Employee must participate to help maintain the desirable work environment created by the management and company officials.