United States onlyEssential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
- Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total.
- Research receipts that are not clearly marked for posting.
- Post payments to the appropriate account and makes notes required for follow-up.
- Posts zero payments to the appropriate account and makes notes required for follow-up.
- Maintains log of daily receipts and contractual posted.
- Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
- Responsible for consistently meeting production and quality assurance standards.
- Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
- Updates job knowledge by participating in company offered education opportunities.
- Protects customer information by keeping all information confidential.
- Processes miscellaneous paperwork.
- Ability to work with high profile customers with difficult processes.
- May regularly be asked to help with team projects.
- 3 years hospital payment posting, including time outside Trubridge.
- Display a detailed understanding of CAS codes.
- Post denials to patient accounts with the correct denial reason code.
- Post patient payments, electronic insurance payments, and manual insurance payments.
- Balance all payments and contractual daily.
- Make sure postings balance to the site's bank deposit.
- Adhere to site specific productivity requirements outlined by management.
- Serve as a resource for other receipting service specialists.
- Must be agile and able to easily shift between tasks.
- May require overtime as needed to ensure the day/month are fully balanced and closed.
- Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied.
Minimum Requirements:
Education/Experience/Certification Requirements
- Must be familiar with payment posting.
- Must have experience with Medicaid.
- Experience in CPT and ICD-10 coding.
- Familiarity with medical terminology.
- Ability to communicate with various insurance payers.
- Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
- Responsible use of confidential information.
- Strong written and verbal skills.
- Ability to multi-task.
Preferred Qualifications:
- Experience with Hospital Billing and California Medicaid
Why Join Our Team?
If you join us, you will receive:
- Work remotely with a work/life balance approach
- Robust benefits offering, including 401(k)
- Generous time off allotments
- 10 paid holidays annually
- Employer-paid short term disability and life insurance
- Paid Parental Leave
