Payment Posting Representative II

Summary

• Position Summary
  • The Payment Posting Representative II is responsible for the daily posting and reconciliation of all Insurance, patient and other unapplied payments received by the SJ/C Central Billing Office/Physicians and practitioner sites supported by the CBO. This position is also responsible for the daily posting of approved contractual, non-contractual and denial code adjustments; in addition to, the weekly review of Insurance underpayment(s). Secondary to Insurance Biller, this position will also perform billing functions associated with electronic secondary/tertiary claims' filing. Other daily tasks include but are not limited to prompt identification of Insurance Credit Balances, Processing of Overpayment Correspondence and Following Refunds from origination until posted against accounts. Whenever assigned, the duties of the Payment Posting Representative II will be completed accurately and within departmental guidelines; working under the direct supervision of the CBO Manager. This position is to work directly with other members of the CBO team to maintain gross days in Accounts Receivable at or below departmental goals, in addition to other specified performance metrics. This position must maintain open communications and is available to other SJ/C departments and practitioner sites for consultation.
• Education
  • None required
• Experience
  • 3-5 Years Relevant Experience in Medical Accounts Receivable. - Required
  • Oncology concentration - Preferred
• License & Certification
  • None Required
• Core Job Functions
  • Ensures all batches balance daily. Balances applicable primary payment information for electronic submission to secondary payer weekly. Completes posted batch daily cover sheets accurately.
  • Posts all manual batches. Ensures all batches balance. Completes daily balance log correctly.
  • Reviews and responds appropriately to correspondence according to established time parameters. Documents all action taken. Ensures correspondence is scanned to the account.
  • Promptly reviews outstanding Credit Accounts receivable in addition to all submitted charge adjustment and other refund request forms. Accurately posts all approved requests for charge adjustment and refunds. Produces required, related reports and documents accounts properly.
  • Evaluates paid claims to ensure accurate payment; Identifies and assigns underpaid claims; Maintains variance report files