Payment Poster/Biller
Job description
The Payment Poster/Bill is responsible for ensuring all payments have been appropriately allocated and posted.
This includes:
- Posts and allocates payments from third-party payers and patients through electronic remittances, online payment portal and patient payments accurately and timely
- Interpret EOBs and identify and reconcile unapplied account balances
- Post insurance adjustments to accounts received as documented from payers
- Post administrative adjustments as approved
- Reconcile accounts
- Analyze third-party payments, adjustments and denials for appropriateness raising concerns and/or questions in a timely manner so that further reimbursement analysis may be initiated.
- Participate in month end processes
- Review all payments in accordance with fee schedules where available
- Ensure that all payments receive on CPT codes which have modifiers, multiple frequencies appended are paid correctly
- Supports and assists employees in assigned area(s) in identifying and troubleshooting Revenue Cycle related problems and provides recommendations for resolution.
- High School Diploma or equivalent
- Must have one or more of the following: CPC, COSC, COC, CCS, or CCS-P through AAPC of AHIMA
- Must have 3-5 years of active medical billing and collections experience
- Preferred experience in orthopedics and pain management
- Experience with Epic preferred
- Advance knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, and complex surgical procedures.
- Advance knowledge of ICD-10-CM, CPT, HCPCS, CCI, MUE, NCD, and payment modifiers.
- Advance knowledge of information systems, encoders, and other technology to facilitate a successful virtual work environment
- Experience with Microsoft Office Suite
- Must be well organized, detail-oriented, and able to multi-task.
- Must be able to work independently.
- Excellent verbal and written communication skill
OrthoAtlanta is committed to the health and wellbeing of our patients, employees, and visitors. We believe that Covid-19 vaccines are the safest and most effective tool to reduce the spread of Covid-19. We are looking for fully vaccinated candidates.
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