MyCare Medical Group Hiring for Medical Payment Poster at Land O’ Lakes, FL Full Time

Job Summary

The Medical Payment Poster is responsible for all aspects of the collections and payment posting process. Responsibilities include documenting account activity, accurately posting adjustments and payments, reconciling the electronic funds transfer (EFTs), reporting collector payments and managing the electronic remittance advice and insurance correspondences. This person would also be responsible for identifying and reporting payment/collection trends or issues.

Job Responsibilities

• Accurately and efficiently post insurance, attorney, patient, and post-collection payments received from insurance carriers, patients, and collection agencies to the appropriate accounts in the practice management system.
• Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment, adjustment, and denial codes.
• Identify incomplete information necessary to post remittance and take the necessary steps to resolve questions, inconsistencies, or missing data.
• Ensure electronic deposits match payment totals.
• Ensure payment batches match bank deposits.
• Accurately move balances to patient responsibility and ensuring prompt patient billing.
• Identify line-item denials for medical necessity, non-covered services, and prior authorization issues. Communicate discrepancies to Referral & Authorization Manager.
• Spot issues with front office collections, such as failing to collect deductibles or copayments, when processing insurance remittances. Communicate these to the Front Desk Manager.
• While processing write-offs and adjustments, investigate unusual contractual adjustments. Communicate problematic trends to the Operations Manager.
• Perform an audit at the close of each day to ensure all activities from the lock box are balanced.
• Electronic posting reconciliations and conduct reviews of entries to be proactive to any errors.
• Ensure all pending and variance items are resolved within designated time frames.
• Review collection accounts and send to in-house collections and then outside collections as per company policy.
• Maintain the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA regulations.
• Additional duties as assigned.

BENEFITS

• Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
  • FSA and Life Assistance Program (EAP)
  • 401(k) Retirement Plan
  • Health Advocacy, Travel Assistance, and My Secure Advantage
• PTO Accrual and Holidays

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