Job Summary: Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwarding appeals to the collectors, requesting refunds as needed, posting refunds in the PAS when processed, and entering approved account adjustments to accounts.
Essential Functions and Responsibilities:
Posts insurance and patient payments into the PAS per our contract and the EOB.
Posse’s strong knowledge in centers Managed Care contracts to accurately calculate insurance allowable.
Puts comments in the account for explanation of any discrepancies in payment.
Notifies the collector(s) of any appeals.
Identifies any immediate refunds and requests them per our policy and procedures.
Applies all other overpayments to the account and sends a letter of overpayment to insurance company.
Requests refunds when appropriate.
Posts refunds in PAS after BOM and Administrator have approved. Ensures all documentation is complete.
Mails refunds to patients and insurance companies.
Transfers payments from one account to another at time of recoup.
Adjusts accounts per our contract at time of payment when necessary.
Maintains three batches per day, one for mail payments, one for over the counter payments and one for credit cards. Balances batches with BOM and deposit.
Receives, screens, and routes incoming calls in a professional manner by the third ring.
- Qualifications:
High School education and/or equivalent
One year of related experience or training or equivalent combination of education and experience.
What We Offer
As a valued member of USPI, your health and well-being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life’s daily stresses.
- Competitive wages
- Opportunities to better yourself professionally
- Health, Dental & Vision Coverage
- 401(k) retirement plan
- Paid Time Off (PTO)
- Company Paid Holidays
- Employee Assistance Programs
- Health Savings Account/ Flexible Spending Account
- Education Assistance
- Short Term Disability and Long Term Disability Insurance
Required Skills
Required Skills:
- High School education and/or equivalent
- One year of related experience or training or equivalent combination of education and experience.
Required Experience