Medical Payment Posting Specialist Job Listing at Emerus Holdings Inc. in Houston, TX (Job ID 2024-18670)

Description

The purpose of this position is to be responsible for the timely and accurate posting of cash receipts from all payers and patients (i.e. insurance companies, Medicare and Medicaid, employers, individuals, etc.) for health services provided by the company.

• High School Diploma or GED, required
• 2+ years posting experience in a medical hospital or outpatient practice setting, required
• Knowledge of third party reimbursement in an out-of-network payor environment, required
• General knowledge of accounts receivable processes, required
• Working knowledge of debits and credits, required
• Experience in reading and interpreting explanation of benefits (EOB) from various insurances, required
• Experience using a 10-key adding machine, required
• Proficiency with Microsoft Office(Microsoft Word, Excel and Outlook), required
• Electronic payment posting experience, preferred
• Knowledge of CPT/HCPCS codes and  ICD-9-CM/ICD-10-CM diagnoses codes, preferred
• Experience using Stockell InsightCS patient accounting system and/or Picis EMR, preferred

• Position requires fluency in English; written and oral communication

• Pull daily cash receipts from bank records and lockbox reporting
• Post daily cash remittances on account and utilize spreadsheets to reconcile all lockbox batches to posting records
• Tie out facility collections and deposits to system records and paper advices
• Review electronic remittance advice posting (where applicable) for proper application to system records
• Track all banking activity as it relates to lockboxes on a daily basis for all accounts/all facilities
• Adjust system reported Accounts Receivables (AR) balances to third-party EOB's through the payment posting process
• Meet position's goals and objectives related to accuracy and productivity e.g. posting accuracy, Accts Rec/EOB reconciliations, etc
• Read and interpret third-party explanation of benefits (EOB)
• Receive and completes requests from team members regarding missing checks and inaccurate postings
• Work with the Accounting Department to complete month end reconciliation process
• Understand external rules and regulations as they relate to healthcare billing and collections e.g. Medicare, Medicaid, state laws, Health Insurance Portability and Accountability Act (HIPAA), etc

• Attend staff meetings or other company sponsored or mandated meetings as required
• Perform additional duties as assigned
• Willingness and ability to work overtime