Payment Poster - Medical Billing

Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Payment Poster to our team. With eleven ambulatory surgery centers and twenty-two clinic locations across the State of Georgia, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state.

Full time with competitive salary, PTO, health benefits and 401k match. The ideal candidate will be located in either: GA, NC, SC, TN, or FL.

• Handle insurance deposits, including manual deposits from an office, ERA payments, and ERA online payments.
• Post refund checks to payors or patients monthly.
• Post attorney deposits for PI cases.
• Investigate and correct any instances of patient auto‑pay declinations, interacting directly with patients.
• Work outstanding accounts to include following up with insurance carriers for over payments, underpayments, filing corrected claims, appealing claims, and following up on all denials to ensure processing / reprocessing and timely payments.
• Work directly with other billing staff and management to meet end of month closing deadlines.
• Appropriately document issues, sources, and actions taken on each account.
• Identify, document, and report payor denial trends to billing manager for escalated follow‑up.
• Create reports regarding the status of patient accounts as requested.
• Address inquiries from insurance companies, patients, and providers.
• Ensure claim information is complete and accurate.
• Follow HIPAA guidelines in handling patient information.
• Patient payment posting.
• Review accounts for any patient/insurance credits.
• Review unapplied patient/insurance payments.

• Minimum of 3 years experience with payment posting or revenue cycle in a medical setting.
• Experience with Medicare, Medicaid, Commercial insurance plans, Workers’ comp, and Personal Injury cases.
• Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management.
• Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.
• Excellent knowledge of CPT coding, ICD‑10 coding and medical pre‑certification protocols required.
• Excellent computer skills and familiarity with Microsoft Office.
• Comfortable working in a growing, dynamic organization and able to navigate change.
• Self‑motivated with ability to multi–task, prioritize work in a fast‑paced, team environment.
• Bachelor’s degree preferred.
• Experience using eClinical
  
  Works preferred.
• Experience with Pain Management preferred.