Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

The primary purpose and function of the Posting Reconciliation Specialist is to be responsible for posting all payments to the correct invoice accurately, record keeping, and responsible for ensuring the balance of insurance payments. Works with all PDS teams and supported offices to maximize office collections.

Responsibilities

• Read and analyze Medical & Dental EOBs (Explanation of Benefits) for accurate payment distribution.

• Read and analyze the statuses of payments through our deposit tracker.

• Review accounts to make necessary adjustments in accordance with PDS guidelines.

• Gather and prepare individual payer transmissions or Deposit Edge deposits in a timely and accurate manner.

• Work through exception and error reports associated with maintaining and processing of insurance rejections, offsets/withholdings, misapplied/unapplied payments and charges, and returned checks as well researching any discrepancies.

• Manually post insurance payments and adjustments from eligible ERA/EFT carriers, Deposit Edge, and via Remittance Work queue.

• Provide auditors, billers, and tracers with assistance in the follow-up of outstanding claims payments through a ticketing system, email or Payment Posting Work queue.

• Balance and transmit payments to the bank.

• Analyzing and pulling bank data to perform required tasks.

• Match bank deposits to system insurance/cash postings to reconcile office bank accounts and patient accounts

• Use communications skills or provider sites to obtain payment information/or EOBs from various carriers.

• Mail correspondence, upload and indexing EOBs, and redacting patient information through OnBase.

• Performs and maintains posting level per Company guidelines.

• Communicate issues and suggestions to improve processes.

• Participate in meetings as required.

• Maintain an appropriate professional appearance and demeanor in accordance with Company policy.

• Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies.

• Other duties as assigned by management.

Qualifications

• Equivalent to high school diploma or general education degree (GED). 

• 1+ Years of related experience.

Preferred

• Experience in a multi-regional healthcare, finance/accounting, or dental company.

• Ability to read and interpret EOBs (Explanation of Benefits).

• Bachelor’s degree and 1 to 3 years of related experience.

• EPIC knowledge

Knowledge/Skills/Abilities

• Ability to multi-task effectively without compromising the quality of the work.

• Excellent interpersonal, oral and written communication skills.

• Detail oriented, organized, process focused, problem solver, proactive, ambitious, customer service focused.

• Ability to draw conclusions and make independent decisions with limited information.

• Self-motivated, reliable individual capable of working independently, as well as part of a team.

• Problem solving skills to gather & analyze information in order to identify and resolve problems in a timely manner arrive at valid conclusions, recommendations, and plans of action.

• Actively share ideas in a constructive and positive manner by listening to and objectively

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.