JOB TITLE: Insurance Payment Specialist
ENTITY: Olympic Sports & Spine (OSS) LOCATION: Tacoma Billing Office
SUPERVISION RECEIVED/ REPORTS TO: Billing Office Manager/Assistant Manager
WORK SCHEDULE: Full-Time Monday - Friday , 8:00 am - 5:00 pm. ( No Weekends )
BENEFITS: SUMMARY OF DUTIES: At Olympic Sports & Spine (OSS) , the payment poster is responsible for processing and posting insurance payments manually or electronically, researching payments and posting them to the proper accounts, balancing payment batches against the daily deposits, and maintaining daily production logs.
JOB RESPONSIBILITIES: Position Summary: the Insurance Payment Specialist is responsible for the expedient and accurate posting of payments received.
Completes payment entry in a timely and accurate manner including: Posts payments to practice management system (EFT & Insurance checks) Balances batches and runs transaction reports Records batch totals on payment receipt spreadsheet Identify and locate missing remittance advice's Able to post high-volume transactions consistently and accurately Identify over-payments and process refunds and recoups to both insurance companies and patients Verifies all EFT deposits and scanned checks have been posted by month end Properly communicates and documents payment denials in the practice management system and to the appropriate billing representative in a timely manner. Identifies any payments not being paid at the allowed/contracted amount and communicates this to the appropriate billing representative and Manager Answers patient billing questions and set up payment plans Maintains professional knowledge regarding medical billing and coding procedures, insurance carriers, federal programs, etc. Performs other duties as needed Participates in educational activities and attends monthly staff meetings. Be proficient with MS Office (Word, Excel, Outlook) and have experience working in multiple billing software systems. PERFORMANCE REQUIREMENTS: Knowledge of medical billing/collection practices. Knowledge of computer programs. Knowledge of business office procedures. Knowledge of basic medical coding and third-party operating procedures and practices. Ability to operate a computer and basic office equipment. Ability to operate a multi-line telephone system. Skill in answering a telephone in a pleasant and helpful manner. Ability to read, understand, and follow oral and written instructions. Ability to establish and maintain effective working relationships with patients, employees, and the public. Must be well-organized and detail-oriented. EQUAL OPPORTUNITY STATEMENT We are an equal opportunity employer and value diversity at our company. We do not discriminate based on age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation.
Education/Experience: Minimum High School graduation or equivalent AND three years of experience in an appropriately related patient accounting function OR Equivalent education/experience.
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