Payment Processor​/Poster

Review and reconcile electronic remittance advice (ERA) files, paper checks, credit card transactions, and other forms of payment received.

Accurately post payments to patient accounts using the appropriate billing software or database.

Identify and resolve any discrepancies or issues with posted payments, ensuring accuracy and adherence to regulatory requirements.

Work closely with insurance companies, patients, or third-party payers to resolve payment-related inquiries or disputes.

Process credit balance requests by identifying over payments and initiating refunds according to company policies and procedures.

Maintain accurate and updated records of all payment transactions, credits, and refunds, including the completion of necessary documentation.

Stay up to date with industry trends, regulations, and changes in reimbursement practices to ensure payments, credits, or refunds.

Provide excellent customer service by promptly responding to any inquiries or requests related to payments, credits, or refunds.

Regularly participates in virtual meetings, training, coaching, audits, and other work-related interactions using Company-approved collaboration technology, including audio and video, as required by Company or client.

Performs duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Key Success Indicators/Attributes

Excellent attention to detail and accuracy in data entry and record keeping.

Ability to prioritize and multi-task in a fast-paced, changing environment.

Demonstrate ability to work in all work types and specialties.

Demonstrate ability to self-motivate, set goals, and meet deadlines.

Demonstrate problem-solving skills and the ability to think critically to identify and implement appropriate solutions.

Demonstrate excellent verbal communication skills, with the ability to interact professionally with insurance companies, patients, and colleagues.

Strong active listening skills to understand patient concerns and provide appropriate resolutions.

Maintain courteous and professional working relationships with employees at all levels of the organization.

Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.

Skill in operating a personal computer and utilizing a variety of software applications is essential.

Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation is an added advantage.

Supervisory Responsibility

No

This job operates in an office environment. This role routinely uses standard office equipment such as computers and phones.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

Stationary Position:
Must be able to remain at a desk for prolonged periods for most of the workday.

Operating Equipment:
Constantly operates a computer, keyboard, mouse, and telephone/headset, including frequent repetitive hand/wrist motions for typing and prolonged periods of screen viewing and virtual communication.

Visual Requirements:
Requires close visual acuity to view computer screens, read documents, and analyze data.

Cognitive Focus:
Sustained concentration for problem-solving and task management, including ability to maintain concentrated attention to detail to ensure coding accuracy and compliance

Communication:
Frequently communicates with coworkers and clients via speech and hearing.

Movement:
Occasionally stands, walks, or reaches to access office equipment, files, or supplies. Light lifting of up to 10 pounds may occasionally be required.

Position Type

This position can be full-time or part-time as determined by the job requisition for the specific client assignment to which the employee is assigned.

Expected Hours of Work

Days and hours of work will depend on the specific client assignment to which the employee is assigned. This position may require long hours and weekend work to support Company or client needs.

Travel

Minimal travel required; up to 5%

Required Education and Experience

Minimum of 1-2 years prior experience/knowledge of payment posting procedures, insurance claim processing, and billing practices. Familiarity with various payment methods, including…