Title: Payment Posting Representative
Wage Category: Hourly, Non-Exempt
Reports to: Manager/Supervisor
Salary range: Commensurate with experience
Job Statement
Under the general supervision, this role is responsible for posting electronic and manual payments, adjustments, and variance and denial codes into GE/IDX system at department standard with minimal errors. Within general procedures established by superior, exercises independent judgment and discretion in posting and keying duties.
Job Duties
An effective Medical Payment Posting Rep will exemplify the MediRevv Mindset by helping the organization on a whole achieve balance between partners, people, and performance through:
- Responsible for posting payments and adjustments accurately at department standard. (55%)
- Responsible for identifying and copying payments and or correspondences needed to bill additional insurance companies or maximize reimbursement. (15%)
- Responsible for identifying and communicating payment types such as Medicare, Medi-Cal, etc. (10%)
- Responsible for identifying and communicating crediting and duplicate payments and payments below acceptable negotiated amount. (10%)
- Responsible for balancing, closing and recording all batches. (10%)
- Performs all other duties as assigned.
Information Management: Treats all information and data within the scope of the position with complete confidentiality and security. Maintains all practices to protect PHI and follow HIPAA guidelines.
Job Requirements – Knowledge, Skills and Abilities
A successful candidate must have proficient knowledge/capabilities in the following areas:
Minimum Position Qualifications:
- Education - High school diploma or equivalent required.
- Experience - One (1) year experience working in a healthcare business office with knowledge on how to read an Explanation of Benefits (EOB) required.
- Computer Skills – Experience with GE/IDX.
- Other - 10 key by touch.
Knowledge / Skills / Abilities:
- Able to read an Explanation of Benefits (E.O.B.)
- Effective written and verbal communication skills to communicate effectively with individuals.
- Ability to think independently and use good judgment for situations which require initiative and innovation.
- Ability to multi-task, establish work priorities, work with interruptions, prioritize needs to meet required timelines and deal effectively with confidential information.
- Analytical and problem-solving skills.
- Demonstrate organization abilities.
- Must have a professional demeanor.
Preferred Position Qualifications:
- Two (2) years’ experience working in a healthcare business office with knowledge on how to read an Explanation of Benefits (EOB) preferred.
- Previous EDI and manual payment posting experience preferred, but not required
- Proficient in Microsoft Office programs (Word, Excel and Outlook).