PAYMENT POSTER

JOB SUMMARY:
The Meridian Medical Management Payment Poster reports to the Manager of Payment Posting. The Payment Poster demonstrates a thorough understanding of all aspects of payment posting and the explanation of benefits key data, and employs standards of best practice to ensure all balancing procedures and documentation guidelines are met.

POSITION REQUIREMENTS:
1. Utilizes industry standard best practices to perform all aspects of receiving, sorting, batching and line item posting of charges and payments into ORIGIN Information System (IS).
2. Adjusts charge balances in accordance with Payer Explanation of Benefits (EOB) and Provider Contracts prior to posting.
3. Identifies allowances, deductibles and co-insurance and ensures accurate posting.
4. Reconciles electronic lockbox transactions, electronic remittances (ERA) and EFT payments.
5. Reconciles check payments and updates Posters Log.
6. Processes credit card payments or faxes credit card payment requests to Clients for processing.
7. Posts denial transaction messages and assists with processing of appeals, as requested.
8. Researches unidentified cash and resolves misdirected payments.
9. Prepares Client deposits, as appropriate to the Client Services Agreement.
10. Monitors and updates logs for deposits, balances, batch tracking and daily close.
11. Assists with processing of refunds, as appropriate.
12. Prepares daily reports, including, but not limited to:
a. Audit Journal
b. Receipt Summary
c. Close of Day
d. Payments Applied
13. Provides mentorship to less experienced staff and assists with training of new employees, as requested by Supervisor.
14. Identifies appropriate escalation points and works with the Manager of Payment Posting, or delegate, to resolve issues.
15. Refers coding issues to the Coding Specialist, to facilitate ICD-10/CPT code review and expedite posting of charges.
16. Maintains ongoing communication with other RCM staff.
17. Consistently meets pre-defined RCM productivity metrics and performance standards.
18. Maintains thorough understanding of changes in Federal and Third Party Billing Regulations.
19. Performs all responsibilities in accordance with ORIGIN RCS Policies and Procedures.
20. Adheres to Confidentiality and HIPAA Privacy and Security Policies and Procedures.
21. Attends required meetings and in-services.

ADDITIONAL RESPONSIBILITIES & SKILLS:
1. Demonstrates effective, professional verbal and non-verbal communication skills.
2. Demonstrates attention to detail and above average organizational skills.
3. Demonstrates the ability to effectively investigate, analyze and problem solve.
4. Exhibits the ability to be flexible and work collaboratively with multiple internal and external teams, to identify and help resolve enterprise-wide challenges.
5. Demonstrates basic math skills and ability to use a 10 key calculator.
6. Demonstrate the ability to accurately type 50 wpm.
7. Demonstrates proficiency working with Windows OS and Microsoft Office, including Excel and Word.
8. Successfully completes all required competency exams with 80% proficiency.

KNOWLEDGE AND EXPERIENCE:
1. Associates Degree in healthcare administration or related field; or
2. High School diploma or GED required; and
Minimum (2) years previous experience in medical billing or patient financial services;
3. Minimum of two (2) years recent experience and/or demonstrated competency in the following areas:
a) Medical Billing and/or Practice Management Information System;
b) Medicare and Medicaid Reimbursement Requirements;
c) Commercial Third Party Insurance Requirements; and
d) CPT /ICD-10 Codes and Medical Billing Terminology