SUMMARY: A payment poster is responsible for but not limited to: Electronic downloading payments, balancing daily reports, payment posting using online resources or payer websites. Ability to handle account research to expedite payment application is required. Efficiently posting payments to company's accounts receivable systems. The duties of this position also include applying required contractual adjustments, issuing refund requests and excellent documentation skills with hard copy work as well as online account notations. A poster is also required to review research and refund all undistributed insurance payments applied. Payment posting workloads should be processed accurately and in a timely manner, according to the established deadlines for month end requirements being met.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Responsible to participate in operational and system training and process improvement implementation.
Posting all electronically available payer remits to appropriate accounts.
Posting credit card payment electronically or manually as needed.
Manually posting exception report payments to appropriate accounts.
Posts insurance recoupment's using appropriate debit and credit adjustment codes. Notes both account with recoupment details. Forwards balance to next responsible party.
Contact insurance companies for questionable or incomplete explanation of benefits.
Research complex issues utilizing internal and external resources and contacts.
Requests for distribution of funds (online ticklers)
Processes refund coding and adjustments when requested.
Maintain daily productivity levels.
Maintains department posting standard of 48 hour turn-around time table on batches received.
Participates in overall system testing as related to system upgrades and enhancements.
Ensures efficiency on keeping an up to date Insurance and Credit WQ to expedite credit.
Knowledge in all processes in the Accounts Receivable department on patient payment electronic and manual posting, insurance payments electronic and manual posting.
Assist the Customer Service department on patient phone calls.
Communicates extensively with staff and management on updates.
Works with the department staff and management to resolve issues.
Follows procedure for processing non-Epic site payments.
Processes unidentified payment to the appropriate account, distributes all outstanding undistributed patient payment to open patient balance.
Processes refunds using the approved department guidelines.
Performs any other duties as instructed by the supervisor or manager.
KNOWLEDGE SKILLS AND ABILITIES:
A significant level of analytical ability is required in order to correct errors and notice trends. Analysis requirements for collecting available factual information and responding to it based on clear precedent procedures. Good written and verbal communication skills.
Able to type 40 WPM, general data entry skills, 10 key calculator & Microsoft office
A significant level of communication skills is required in order to communicate with others.
Ability to proofread and check documents for errors as well as problem solving issues.
Experience with medical terminology, CPT codes
EDUCATION and / or CERTIFICATION/LICENSURE:
Requires a working knowledge of Accounts Receivable as it relates to the department.
A working knowledge on Insurance Carrier Explanation of Benefits
Basic phone etiquette
Dupage Medical Group