About this role
Job DetailsJob Location: Texas Regional Admin Office - Richardson, TX 75082Position Type: Full TimeEducation Level: High SchoolSalary Range: $18.00 - $24.90 HourlyTravel Percentage: NoneJob Shift: DayJob Category: Health CareCompany Overview:
National Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. We partner with physicians and health systems to deliver high quality care, aligning synergies and best practices to achieve superior outcomes. As a leader in the industry, we believe in developing a foundation of trust, transparency, and excellence in everything we do. The success of our company has created excellent career advancement opportunities that support a healthy work/life balance.
Position Summary
Posts payments to patient accounts; keys and verifies insurance and patient payments in accurate and timely manner. Researches and processes all unidentified payments. Identifies and reports to supervisor any payment problems and discrepancies.
Essential Duties and Responsibilities
Post insurance and personal payments to patient accounts; balance checks in imaging workflow environment
Verify and write off any non-allowed charges billed to participating payers. Verify the patient responsibility
Read and comprehend insurance company explanation of benefits
Reconcile daily deposits to posted amounts; resolve discrepancies by appropriate department’s monthly deadline
Post rejections from insurance companies
Process refunds for all overpaid accounts, unidentified and misdirected payments
Research in the imaging system and find the remits for the suspended payments
Call insurance companies to obtain copies of remits for suspended payments
Review and make corrections on the trainees’ batches as needed
Look for the ERA files for the EFT payments and report the missing files to supervisor
Identify the payor for the EFT payments and match them to the ERA files in the system, accurately. Identify and report the discrepancies in the ERA files to the supervisor.
Maintains strictest confidentiality.
Non-Essential Duties and Responsibilities
Perform other duties as assigned.
QualificationsEducation/Licensing/Certification
High School graduate or equivalent
Experience
Minimum of (1) one year of experience in 3rd party billing. (2) two years preferred. experience in a healthcare business office, specifically collections and/or payment posting, is required. Working knowledge of Excel and Word is required.
Knowledge and Skills
Knowledge of organization policies, procedures and systems
Good understanding of the revenue cycle
Thorough understanding and working knowledge of payor contracts and payer reimbursement policies
Strong analytical and problem-solving skills to identify trend and issues and ability to solutions to address issues
Knowledge of contractual management practices
Skill in computer applications including MS Word, MS Excel.
Basic knowledge of managed care programs and billing requirements necessary.
Analytical abilities required to identify and resolve underpayments relating to specific payers, coding issues, etc.
Good mathematical skills a must.
Skill in verbal and written communication.
Skill in gathering and reporting information.
Ability to work effectively with staff, physicians and external customers. Must display teamwork attitude and good inter-personal skills.
Must have a pleasant disposition and high tolerance level.
Ability to work independently with limited supervision.
Familiarity with basic medical terminology and concepts required
Knowledge of CPT, ICD-9, and ASA coding.
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