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Payment and Reconciliation Specialist
Healthcare Outcomes Performance Co. (HOPCo)Medical Billing and Cash Applications Specialist managing financial transactions and ensuring proper posting in a healthcare environment. Communicating with physicians and patients to resolve billing issues and process refunds.
About the role
Key responsibilities & impact- Has an understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.
- Posting financial transactions through the use of automated systems and team processes.
- Accurately interprets insurance explanation of benefits to ensure proper posting.
- Retrieves and uploads 835 remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.
- Participation in optimizing productivity within the area.
- Maintains knowledge of the work area and optimizes the use of available technology.
- Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.
- Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.
- Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.
- Processes and posts refund checks as received into the patient accounting system.
- Establishes and maintains effective communication with physicians, staff, and other departments as required.
- Accepts and completes additional requests from the Cash Applications Supervisor.
- Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.
- Effectively forwards accounts requiring work up or resubmission to the business office staff.
Requirements
What you’ll need- A minimum of two years' experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
- Prefer previous cash posting experience in a multiple lockbox environment.
- Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
Benefits
Comp & perks- Competitive Health & Welfare Benefits
- Monthly $43 stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan after 6 months of service with company match (Part-time employees included)
- Employee Assistance Program that is available 24/7 to provide support
- Employee Appreciation Days
- Employee Wellness Events
ATS Keywords
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Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
accounts receivable postingmedical billingfinancial transactionsinsurance explanation of benefits835 remittance filesrefund processingcoordination of benefitseligibility requirementscash applicationsmultiple lockbox experience
Soft Skills
effective communicationrelationship buildingteam collaborationproblem-solvingorganizational skillsattention to detailcustomer serviceadaptabilityproductivity optimizationinterpersonal skills