Oversee the Payment Posting process by collaborating with auditors and posting staff to examine and analyze financial reports to ensure accurate accounts of all payments made by insurance payers.
Tasks
- Manage Posting Department
- Assist with the implementation of all new billing and posting procedures
- Educate Posting Department on updated posting procedures
- Maintain complete, timely and accurate documentation of all payments,
denials and adjustments. - Analyze EOB's, balancing insurance and patient payments; and perform
adjustments and credits as needed all within a clearly defined month-end
close goal. - Review and analyze financial reports daily to ensure accurate posting
- Collect and analyze data to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and management policies.
- Report to management about audit results, and recommend changes in operations and financial activities.
- Prepare detailed reports for audit practices for month and year reporting.
- Monitor team productivity for timely posting
- Enrollment of payors to clearinghouse and provider portals
- Maintain posting timelines and requirements for team
Education:
High School Diploma or equivalent is required; Associate's Degree preferred.
Minimum 4 years medical payment posting experience within a healthcare environment is required.
Knowledge:
Accounting - Knowledge of accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.
Computers and Electronics -Â High level of comfort when using a personal computer and all applicable billing software; Must have demonstrated proficiency in the use of Microsoft Word, Excel and SharePoint; Must be able to type 45 WPM and comfortable with 10-key
Mathematics -Â Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Healthcare - Knowledge of medical terminology, insurance and reimbursement proceduresÂ
Skills:
Basic Skills
- Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
- Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
- Mathematics - Using mathematics to solve problems.
- Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
- Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
- Speaking - Talking to others to convey information effectively.
- Writing - Communicating effectively in writing as appropriate for the needs of the audience.
Social Skills
- Coordination - Adjusting actions in relation to others' actions.
- Instructing - Teaching others how to do something.
- Negotiation - Bringing others together and trying to reconcile differences.
- Persuasion - Persuading others to change their minds or behavior.
- Service Orientation - Actively looking for ways to help people.
- Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
Complex Problem Solving Skills
- Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
Systems Skills
- Judgment and Decision Making – Consideration of relative costs and benefits of potential actions to choose the most appropriate course of action.
- Systems Analysis - Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
- Systems Evaluation - Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
Resource Management Skills
- Management of Material Resources - Obtaining and seeing to the appropriate use of equipment, facilities, and materials needed to do certain work.
- Management of Personnel Resources - Motivating, developing, and directing people as they work, identifying the best people for the job.
- Time Management - Managing one's own time and the time of others.
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