SpineNevada Reno, NV
- Posted: over a month ago
- Benefits: medical, vision, 401k, dental, life insurance,
This position is responsible for working payment posting, remittance errors, forwarding denials, and credit balances.
•The Payment Processing Specialist will report daily to the Billing Lead with an update of receipts, completed batches, overpayments, and potential problems identified by EOB review. The Billing Lead reports to the Director of Finance.*
•Timely Post payments and adjustments to patient accounts from all insurance payers.
•Accurately calculate and allocate carve-outs while processing payments and adjustments.
•Set claim to bill next responsible party.
•Post check payments from patients, facilities, and patient representatives/payees.
•Review all remittance advices for accuracy to identify errors or questionable data.
•Research and resolve unapplied/unidentified cash receipts.
•Balance receipts to bank deposit daily.
•Reconciles payments and shortages for both paper and electronic Explanation of Benefits (EOB's).
•Detailed with the ability to meet individual and team goals with minimal errors.
•Knowledge and understanding of Medicare, Medicaid, and commercial payers’ remittances.
•Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
•Identify patient and insurance refunds.
•Identify insurance recoupments.
•Physical Requirements: **
•While performing the duties of this job, the employee is frequently required, but not limited to:
•The employee must occasionally lift and/or move up to 30 pounds.
•Specific vision abilities required by this job include close, distance, color, and peripheral vision, and the ability to adjust focus.
•The employee will have to spend long hours sitting and using office equipment and computers, which can cause muscle and eye strain.
•Occasional stress from dealing with multiple tasks and patients.
•Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests;
•Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
•Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
•Prioritizes and plans work activities; Uses time efficiently.
•Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
•Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
•Ability to apply common sense understanding to carry out simple one- or two-step instructions.
•Knowledge of Intergy, Microsoft Office Applications, and the ability to operate basic Internet software. The individual should be able to operate a computer in order to accurately enter data into a database, search for information, send and receive email and attachments. Must use the internet to access schedules, research insurance information, etc.
•Places the patients’ safety, comfort, dignity and convenience before all other considerations.
•Behaves with courtesy and respect when speaking to patients, health professionals, and others.
•Strives to develop and maintain mutually beneficial long term relationships with clients, business partners, accountants, attorneys, community leaders and co-workers.
•Displays flexibility and adaptability in response to departmental and professional changes.
•Communicates efficiently with staff and owners.
•Seeks to do the right things with respect to every decision.
•Strives for both the short and long term profitability of SpineNevada.
•Appearance is professional and complies with dress code.
•Updates self with current medical billing standards and regulations. Honest.
•Analyzes his/her areas of strength and weakness and pursues improvement and growth.
•Position Preferred Requirements**
•2 years of Multi-Specialty work experience.
•Computer Literacy with a minimum of 30 WPM and 10-key proficiency.
•Team building strengths.
•HIPAA knowledge and enforcement.
Job Type: Full-time
5310 Kietzke LaneReno, NV
HealthcareView all jobs at SpineNevada