Responsibilities:
Post payments, adjustments, denials, and refunds accurately.
Research and resolve payment discrepancies.
Review, interpret, and post correspondence and decide on the next action including the next escalation process.
Interpret EOBs/ERAs and escalate any incorrect adjudication and ensure compliance with HIPAA and payer guidelines.
Requirements:
Minimum of 3 years experience in payment posting.
Experience handling a wide variety of payers from multiple states and line of business.
Ability to work independently, think outside of the box and work in a challenging and rapid-paced office environment.
Microsoft Office skills required.
Microsoft
Excel proficiency preferred.
Excellent interpersonal, verbal, and qualified written communication skills.
Ability to multitask and navigate between platforms a must.
3+ years in medical billing or RCM.
Solid knowledge of CPT/ICD codes and payer rules.
Experience with systems like NextGen.
High attention to detail and numerical accuracy.
Solid analytical and Excel skills.
Preferred:
AR experience.
Familiarity with EFT reconciliation tools.