Remittance Processing Specialist

Benefits/Perks

• Medical, Dental, and Vision Insurance
• Life Insurance
• Disability Insurance
• 403b
• PTO
• Paid Holidays
• Flexible Spending Account
• Employee Assistance Program

Company Overview
Mental Health Resource Center is a not-for-profit Florida corporation that provides a wide range of mental health and behavioral health care services to the community such as 24-hour emergency services, inpatient psychiatric services for children, adolescents, and adults as well as outpatient services such as medication management, case management, and counseling.
Job Summary
Mental Health Resource Center (MHRC) and Renaissance Behavioral Health Systems (RBHS) are seeking a Remittance Processing Specialist to work at our corporate office in Jacksonville, Florida.
The Remittance Processing Specialist is responsible for timely and accurate posting of insurance payers electronic funds transfers, explanation of benefits, denials and adjustments received via all electronic resources.
Responsibilities

• Downloads Commercial, Medicare and Medicaid EOBs from various websites.
• Uploads and processes electronic Explanation of Benefits (EOBs) from the internet, including printing, balancing and posting.
• Accurately reads interprets and posts the explanation of benefits (EOB) from various insurance payers and post the payments to client accounts.
• Posts and adjusts insurance take-backs and withholds.
• Documents payer payments and receipt dates in the cash database.
• Utilizes payer websites to locate missing remittances.
• Researches and resolves posted and unposted payments to include refunds.
• Perform daily/weekly functions to include: daily deposits and payment posting.
• Verifies payments posted against totals on the bank statement and weekly reconciliation.
• Serves as the primary payment poster/cash applicator for the Business Office.
• Assist with telephone coverage for incoming calls to the Patient Accounts Department regarding client statements and insurance coverage.
• Communicates and assists the Business Office Manager and Patient Accounts Specialists in regards to denied charges, rejected claims or any other issues that affect reimbursement.

Qualifications

• High school diploma or equivalent required.
• Minimum of one year experience working in a healthcare billing/revenue cycle operations with commensurate knowledge of healthcare practices, payment posting, billing terminology required.
• Must perform accurate data entry at a minimum level of 25 words per minute.
• Proficiency in Microsoft Office Programs (Excel and Word), Outlook, email and the use of the Internet.
• Proficiency in the Electronic Health Records (EHR) and Patient Information System demonstrated within three months post deployment of system.
• Ability to scan and manage documents electronically.
• Must understand healthcare billing and Remittance Processing.
• Ability to work independently and as part of a team.
• Strong communication skills and writing skills are essential. This individual must be able to interact appropriately with internal and external customers, including employees, supervisory staff, and other department professionals
• Documentation, paperwork and system entries must meet internal and external guidelines for content, accuracy and timeliness

Position Details
This position is a Full Time Days position: Monday through Friday, 8:00am to 4:30pm.
Renaissance Behavioral Health Systems and Mental Health Resource Center are Equal Opportunity Employers.