Payment Poster - Philippines, Quezon City, Pilipinas - Sourcefit

Paglalarawan

Position Summary:

We are seeking a highly skilled and experienced Senior Payment Poster to join our team. The ideal candidate will have over 5 years of experience in payment posting, with a strong understanding of take backs and reconciliation processes. As part of a significant clean-up project, this role demands a high level of accuracy and efficiency in handling payments, reconciliations, and insurance claim processing. The Senior Payment Poster will play a crucial role in maintaining our financial integrity and contributing to our ongoing success.

Job Details:

• Work from home
• Monday to Friday | Flexible Schedule
• *Following US Holidays

Responsibilities:

• Payment Posting: Accurately post payments from various sources, including insurance companies, Medicare, Medicaid, and patients, ensuring the correct application of funds in the billing system.
• Reconciliation: Perform thorough reconciliation of payment discrepancies and variances. Identify and resolve issues swiftly to minimize revenue loss and maintain accurate financial records.
• Insurance Claims Processing: Diligently verify insurance payments against submitted claims and explanations of benefits (EOBs), ensuring proper adjudication and compliance with relevant policies and procedures.
• Denial Management: Investigate and resolve payment denials and discrepancies. Work collaboratively with the billing team to address and rectify these issues, contributing to the reduction of outstanding accounts receivable.
• Refunds: Process refunds accurately and timely, ensuring proper documentation and compliance with financial policies. Maintain detailed records of all transactions for audit and reporting purposes.

Qualifications:

• Minimum 5 years of experience in payment posting, preferably within a healthcare setting.
• Strong understanding of take backs, reconciliation processes, and financial record-keeping.
• Proficiency in using billing systems and electronic health records (EHR) software.
• Knowledge of insurance claims processing, including Medicare and Medicaid.
• Excellent analytical skills and attention to detail for managing financial transactions and resolving discrepancies.
• Ability to work independently and as part of a team in a fast-paced environment.
• Effective communication skills for interacting with diverse teams and resolving issues.
• Bachelor's degree in finance, accounting, or a related field is preferred.