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SalaryGundersen Health System is seeking a Payment Posting Specialistto join our Billing & Follow Up Team!
What you will do:
You will be responsible for managing the manual posting of paper checks to accounts, calling insurance to review EOBs, and posting to patient accounts. You will serve as a resource for problem-solving, working collaboratively with colleagues in a fast-paced environment.
What you will get:
- Fulltime - 40 hours, Monday – Friday
- Work onsite in Onalaska, WI (hybrid option available after completion of training)
- Starting wage of $16.77/hour + years of experience
What you will need:
- Must have a high school diploma or equivalency
- 1 year of work experience, preferably working in a medical facility, insurance company or office setting
- Ideal candidate will have high attention to detail, be a critical thinker, and have experience working in insurance or banking
Why join us?
- Unlimited potential at one of the leading health systems in the midwestern United States
- We offer a work environment that supports you personally and professionally, and a work culture where you are valued and appreciated
- Generous Benefits Package (Medical, Dental, Life Ins, HSA/FSA)
- Substantial Retirement Contribution (401k & Base Contribution)
- Work/Life Balance (Vacation time, paid holidays, EAP)
- Tuition Reimbursement Program
- Professional Development Opportunities/Career Development Center
Join our passionate team and make a difference in the daily lives of our patients. We offer a competitive salary, benefits package, and opportunities for professional growth and development. If you are a motivated, skilled and efficient person who thrives in a fast-paced environment, we would love to hear from you.
The Payment Specialist is responsible for verifying remittance payments on paper, electronically and daily patient payments. Posting the payments accurately to patients' accounts/claims on the billing systems for both Hospital and Clinic. Preparing daily deposits for both the Hospital and Clinic. Updating and inputting information into the billing systems. Monitoring reports generated by the billing systems. Balancing daily A/R.
Major Responsibilities:
1. Research/review and verify for appropriate patient accounts and claims to post insurance and patient payments through billing systems with accuracy and speed.
2. Balance and process electronic 835 compliant files to post payments, adjustments/discounts to patient accounts within our billing systems.
3. Identifies issues with Electronic Remittance Notice files. Involves PBS Systems, Payment Posting and appropriate staff to resolve and problem solve. Involves IS when necessary. Provides appropriate information and feedback.
4. Works with our internal and external customers to maintain data integrity, which includes, but not limited to: demographic verification and correct insurance information to assure accurate posting of payments and contractual adjustments being posted and expedient filing of future claims to carriers, which ultimately affects the reduction of the organization's accounts receivable.
5. Works collectively with payors and internal contacts to identify and rectify billing issues resulting in reimbursement and final disposition of claims. Verifies accuracy of payment for correct reimbursement.
6. Research and process insurance recoups on patient accounts.
7. Monitor and work reports generated by the billing system for unapplied payments.
8. Update computer systems with information (insurance, demographics, claim/account status).
9. Balancing and preparing daily bank deposits. 10. Balance daily Accounts Receivable.
11. Post denials to patient accounts/claims.
12. Knowledgeable of all contractual guidelines to ensure compliance.
13. Performs necessary error corrections and/or initiates a refund request to rectify the guarantor account.
14. Actively participates in analysis of work processes and provides feedback to the PBS Managers and PBS Systems Trainers to assist in enhancing overall patient satisfaction and work processes.
15. Prepares payment batches for scanning into the document imaging system.
16. Scans source document information into the document imaging system, ensuring that images are readable.
17. Performs quality assurance audits on document imaging.
18. Participates actively in department meetings, and assumes additional responsibilities and special projects as assigned.
19. Performs other job-related responsibilities as requested.
Education and Learning:
REQUIRED High School Diploma or equivalency Successful completion of defined core competency testing for Payment and Charge Posting Specialists within 90 days of employment.
DESIRED High School Diploma or equivalency + Course work in insurance (HIAA education series through LOMA), Medical Terminology course and ART/CPC course.
Work Experience:
REQUIRED 1 year work experience, preferably working in a medical facility, insurance company or office setting.
DESIRED 1 year experience in a healthcare setting with claims billing to Third Party Payor.
Age Specific Population Served:
Nonage Specific (N/A)
OSHA Category:
Category III - No employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.
Environmental Conditions:
Not substantially exposed to adverse environmental conditions (as in typical office or administrative work).
Physical Requirements/Demands Of The Position:
Sitting Continually (67-100% or 8 hours)
Walking/Standing Occasionally (6-33% or 3 hours)
Stooping/Bending Occasionally (6-33% or 3 hours)
Kneeling/Half Kneel Occasionally (6-33% or 3 hours)
Reaching - Shoulder Level Occasionally (6-33% or 3 hours)
Reaching - Above Shoulder Occasionally (6-33% or 3 hours)
Repetitive Actions - Fine Manipulation Occasionally (6-33% or 3 hours)
Lifting - Other Occasionally (6-33% or 3 hours)
Job Type: Full-time
Pay: $16.77 - $23.54 per hour
Expected hours: 40 per week
Benefits:
- Employee discount
- Flexible schedule
- Health insurance
Schedule:
- Day shift
- Monday to Friday
Work Location: In person
