Payment Posting & Reconciliation Specialist

Payment Posting & Reconciliation Specialist | Tulsa, OK

Monday – Friday 8-5

$18/hour and can go up DOE

• Job Summary:
• The Medical Payment Posting & Reconciliation Specialist will manage account receivable billing and collections of payments for all designated payers and designated locations to balance payments at the end of the month. This
• position will ensure all payments are posted into the patient's account with the correct amount and adjustment.

Essential Duties & Responsibilities:

1. Post all personal, insurance, and liability payments from remittance and EOBs to appropriate accounts with minimum errors
2. Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid, and Commercial Insurance
3. Analyze EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, and denials, to verify the accuracy of patient balances
4. Research unbalanced payments (recoupments, forwarding balances, overpayment recoveries, etc.) to balance and lock payments
5. Scan all EOBs into the system and create hardcopy files for original EOBs by day
6. Add appropriate ANSI (American National Standards Institute) denial codes and comments to ensure all necessary appeals and post payment follow up can take place
7. Investigate the source of unidentified payments to ensure they are applied to the appropriate account. If necessary, contact the sender to clarify what the payment is for to postthe payment correctly
8. Reconcile shortage on both paper and electronic EOBs to determine proper allowance and correct write-off;
9. Assist in updating the direct deposit daily;
10. Assist in performing the comparison of downloaded files to the direct deposit and correct discrepancies
11. Assist in running and balancing credit cards daily
12. Contact patients, insurance, and third-party administrators when clarification of information is needed to post payment successfully
13. Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due.
14. Match statements with batches of canceled checks by account numbers.
15. Return checks to customers or retrieve checks returned to customers in error, adjusting accounts and answering inquiries about errors as necessary.

Education:

High School Diploma / GED required

Requirements:

Experience with insurance billing and medical/dental claims, 1 year posting medical insurance reimbursements and cash payments

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