Job Description

Idaho Physical Medicine & Rehabilitation
POSITION: Medical Billing Payment Specialist
SUMMARY OF DUTIES: Responsible for posting all payment manually and electronically from insurance. Responsible for handling initial insurance denials with the knowledge of when to assign the denial to the Insurance A/R Specialist.
SUPERVISION RECEIVED: Reports to the Billing Manager may receive direction from Administrator and/or Physicians.
ESSENTIAL FUNCTIONS:
This Medical Payment Poster Specialist position is full time position in a busy Medical Billing Department of a large Clinic and ASC. If you're a detail-oriented worker with experience in the healthcare field, you're ideal for this position.
What you get to do every day
1. Assess explanation of benefits (EOBs) from insurance companies, patients and government agencies and deliver payments accordingly. * Working denials and resubmitting claims. Assigning claims to Coders for corrections and Insurance A/R Specialists for research and appeals.

• Balance Tills daily
• Reconcile bank account to ecw payments
• Weekly bank run/cash deposit
• Physical check deposit daily
• Distributing incoming billing mail/ Dropping and picking up mail daily
• Updating ASC stimulator spreadsheet
• Provides coverage for billing department call center, assisting patients with questions regarding their bills.
• Returns voicemails as received on direct line
• Posting medical legal payments and creating claims for them as needed
• Posting medical record payments and creating claims for them as needed.
• Posting DDU, STARS, St Als payments and creating claims for them as needed.

• Previous experience with a practice management system, eClinicalWorks preferred
• Proven knowledge of explanation of benefits (EOB's)
• Foundational knowledge in HealthCare Insurance
• HealthCare Billing experience
• Comprehensive knowledge of cash posting
• Strong familiarity with HealthCare Industry
• Idaho Medicaid and Healthy Connections experience.
• Minimum of 3+ years payment posting or medical billing experience
• Strong proficiency with Microsoft Office applications, specifically Excel, Outlook and internet applications

EXPERIENCE: 3 years experience working in a group practice or healthcare system preferred. Understanding clinic operations related to patient registration, insurance plans, referrals, authorizations and some knowledge of CPT/ICD10 coding.
EDUCATION: A high school diploma/GED or higher.
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SKILLS:

• Skill in gathering, analyzing, and evaluating patient information

• Skill in written and verbal communication.

• Skills in gathering, analyzing and evaluating insurance information.

ABILITIES: * Ability to clearly communicate and apply policies and principles.

• Ability to plan, exercise initiative, problem-solving.

• Ability to identify problems and recommend solutions.

• Ability to establish priorities and coordinate work activities.

ENVIRONMENTAL/WORKING CONDITIONS: Work is performed in a busy office environment and requires deskwork, travel to all IPMR practice sites, frequent standing, moving equipment and bending. Frequent contact with employees, patients and outside agencies. Public contact may involve dealing with angry or upset people.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Skills Required