Medical, Payment, Posting, and Reconciliation Specialist
First Choice Community Healthcare · Albuquerque, New Mexico, US
Description POSITION SUMMARY Position reports to the Central Billing Supervisor who reports to the Director of Revenue Cycle Management.
Job description
Description POSITION SUMMARY: Position reports to the Central Billing Supervisor who reports to the Director of Revenue Cycle Management. The Medical Payment Posting & Reconciliation Specialist will monitor A/R aging, accessing the accounts for further attention by involving A/R; collect balances to ensure statements are processed and paid promptly. He/she will also manage and reconcile all payments; make sure it is posted into the patient’s account with the correct amount and adjustment. ESSENTIAL DUTIES AND RESPONSIBILITIES: - Post all insurance and liability payments from Remittance and EOBs to appropriate accounts with minimum errors. - Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances. - Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to validate accuracy of patient balances. - Scan all EOBs into system and creates hardcopy file for original EOB's. - Add appropriate denial codes and comments to assure all necessary appeals and post payment follow up can take place. - Investigate the source of unidentified payment to ensure they are applied to approp...