Temporary Payment Posting Representative CCS Medical Holdings, Inc.
Responsible for entering all cash receipts and denials into the billing system while maintaining a high level of productivity through speed and accuracy.
Applies all payments to patient and guarantor accounts, including payments from insurance carriers, government agencies
and their fiscal intermediaries, patients and product suppliers
Ensures accuracy of cash application by balancing deposit totals to system-generated reports
Accurately posts all payments within three days of deposit date
Reviews and posts denials from payers and recommends solutions to management
Analyzes third party payer amounts paid to contracted reimbursement rates. Alerts management of material differences
in these amounts
Analyses 835 ERAs from payers and alerts management of changes in allowed amounts, adjustment reason codes, amounts
paid, etc from historical trends.
Must maintain a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, and consistent attendance
Assists other office personnel in the performance of their duties as assigned and as workload permits
Demonstrates accountability and responsiveness to the needs of the patients of CCS Medical
Maintains and promotes patient confidentiality
Maintains open lines of communication with organizational leadership and inter and intra department management and personnel
Follows all Medicare, Medicaid and Private Insurance regulations and requirements
Actively participates in Continuous Quality Improvement
Assumes other duties and responsibilities as assigned by manager
Abides by all departmental, Employee, and Company policies, procedures and standards
Maintains scheduling flexibility to ensure availability to meet the needs of the department for all hours of operation
High school diploma or GED equivalent and one year billing collections or reimbursement experience.
Ability to read and interpret explanation of benefits (EOB?s) and explanation of payments (EOP?s) from Governmental and Commercial payers preferred.
Experience working with ANSI X12 835 for Auto-posting processes preferred.
Knowledge of the computer keyboard and operation of Windows-based software system and associated printer
||Farmers Branch, TX |