Payment Posting Specialist

Roswell Surgery Center  has an exciting opportunity for a Payment Posting Specialist, Full Time.

About the job

Payment Posting Specialist

Roswell Surgery Center performs a broad range of orthopedic surgical procedures including total joint procedures. Our mission is to care for every patient and their family as if they were our own. Each patient, each family, each and every time. We are seeking a meticulous and quality principled professional for orthopedic Ambulatory Surgery Center. We are looking for a motivated individual to join our Business Office team as a Payment Posting Specialist, with an extensive knowledge of claims reimbursement with Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc. 

Job Summary

Under the direction of the Business Office Manager, the Payment Posting Specialist is responsible for posting all incoming payments into the system and reconcile each day and month to ensure correctness.  Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement. Candidate must be a team player, and have ability to communicate well with direct reports, patients, customers, insurance carriers, etc.   This position will also be responsible for accounts payable.

Duties and Responsibilities would include:

•    Payments and adjustments are accurately recorded in the patient accounting system daily.
•    Utilize the payer contracts loaded in the patient accounting system and/or a hard contract copy to ensure appropriate payment received.
•    Ensure notes are entered in the patient account, and copies of EOB’s, denials and other correspondence are provided to the Collector.
•    Ensure the cash deposited in the bank and the amount posted in the system is in balance daily.
•    Understands importance of HIPAA within a Medical facility
•    Ability to enter data into computer, and use office equipment.
•    Pull bank statements from prior day
•    Verify details of bank statements
•    “Post” to individual patient accounts
•    Balance receivables
•    Follow up on outstanding insurance claims
•    Knowledge of health care network contracts and Medical Collections preferred.
•    Experience with appeals preferred
•    Receiving and entering invoices for accounts payable in a timely manner
•    Ensuring all vendors are paid within the appropriate time frame

Education, Training and Experience Requirements:

•    CASCC credential or equivalent preferred
•    Orthopedic experience preferred
•    1-2 years previous collections experience, with emphasis on healthcare insurance collections of all types. Preference shown to previous experience in an ambulatory surgical setting. 
•    Prefer previous experience working with Advantx. (Patient Accounting System)
•    Ability to work independently 
•    Excellent communication skills and interpersonal skills.
•    Skilled in time management and prioritization of emergent situations.
•    Good customer service skills, always demonstrates professionalism.
•    High School Diploma or equivalency.
•    Proficient with Microsoft Office products.
•    Experience with electronic patient information systems.
•    Prefer previous experience with Electronic Health Record system.

What We Offer

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of, our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

Original Req# 79531