Medical Payment Posting & Reconciliation Specialist (Hybrid)

JOB SUMMARY:

The Medical Payment Posting & Reconciliation Specialist will manage accounts receivable billing and collection of payments for all designated payers and designated locations to meet and maintain goals. He/She will monitor A/R aging, accessing the accounts for further attention by involving the A/R; collect balances to ensure statements are processed and paid promptly. He/she will also manage and reconcile all payments; make sure it is posted into the patient’s account with the correct amount and adjustment.

MAJOR DUTIES & RESPONSIBILITIES:

• Post all personal, insurance and liability payments from Remittance and EOBs to appropriate accounts with minimum errors.
• Apply manual payments and auto payments to accounts for payor types of Medicaid Insurances
• Analyze EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances.
• Scan all EOBs into the system and create hardcopy file for original EOBs by day.
• Add appropriate ANSI denial codes and comments to assure all necessary appeals and post payment follow up can take place.
• Investigate the source of unidentified payments to ensure they are applied to appropriate accounts. If necessary, will contact the sender to clarify where the payment should be posted.
• Reconcile shortage on both paper and electronic EOBs to determine proper allowance and correct write off.
• Assist in updating the Direct Deposit Daily
• Assist in performing comparison of downloaded files to the Direct Deposit and correct any discrepancies.
• Send all batch reconciliation information to the Finance department.
• Assist in performing check deposits and assembling logs daily.
• Research inquiries in a professional and courteous manner and work with Accounts Receivable team members, to identify and resolve escalated customer concerns in a timely manner, potentially without direct Supervisor oversight. Partner with Team Lead and Supervisor to develop solutions to repeat customer concerns.
• Act as point of contact for the team when Supervisor/Manager/Team Lead are unavailable for cash posting issues.
• Perform other duties as assigned to support Medical Guardian Mission, Vision, and Values.

QUALIFICATION REQUIREMENTS:

• Data entry skills and working knowledge of computer required.
• Exceptional customer service and interpersonal communication skills.
• Proficient in examining documents for accuracy and completeness.
• Ability to multitask and manage time effectively.
• Ability to handle payment in accordance with detailed instructions.

TRAVEL REQUIREMENTS:

• Ability to travel to the Philadelphia office twice a week on assigned days.

EDUCATION and/or EXPERIENCE:

• High School diploma required; associate or bachelor’s degree in business, Finance or Accounting preferred.

LANGUAGE SKILLS:

• Ability to read, analyze, and interpret general health and social services guidelines, technical procedures, or governmental regulations.
• Ability to effectively present information and respond to questions from groups or patients, staff, and the public.

About Working Here:

We have an award-winning culture. We have been named “Top Workplaces” by the Philadelphia Media Network, “Best Places to Work” by the Philadelphia Business Journal, ranked #24 in The Philly 100 fastest growing companies, and have made the Inc. 5000 eight years in a row. Plus, our CEO has been named one of the best people to work with via Glassdoor reviews. (And we couldn’t agree more!)

Please check us out at:

Medical Guardian Mission: https://www.medicalguardian.com/about-us

Glassdoor: https://www.glassdoor.com/Reviews/Medical-Guardian-Reviews-E749526.htm

Medical Guardian Founded in 2005, Medical Guardian is a leading provider of innovative medical alert systems that empower people to live a life without limits. A member of the National Aging in Place Council, Medical Guardian is headquartered in Philadelphia, we provide support to hundreds of thousands of people across the country, who taking on the next chapter of life while remaining safe living in their own home. Whether it’s an in-home system or a mobile device with GPS capabilities, Medical Guardian has the personal medical alert device to meet an array of needs and lifestyles.

Learn more about Medical Guardian by visiting www.medicalguardian.com