On a daily basis, the payment poster is expected to accurately read and interpret the explanation of benefits (EOB) from different insurance payers and post payments to patient encounters with minimal or no error rate.
Demonstrate the ability to make adjustments as necessary when payment posting for Medicare, Medi-Cal, contracted PPOS and other insurances.
Accurately process patient payments sent via mail within a 2 day turnaround.
Follows proper procedures and in a timely fashion, notify the Insurance Specialist of any underpayments and payment discrepancies for research.
Responsible for balancing batches assigned to them via the Practice Management System and the daily posting of these batches. Report any batch issues to their immediate manager and/or supervisor for prompt resolution.
Collaborates with teammates to insure that our departmental close for each month is met within the first three business days of the following month.
Works closely with the insurance specialist, patient account collector, and/or other team members to resolve patient issues.
Productivity falls within acceptable departmental guidelines established by management; employee consistently strives to exceed expectations.
Employee demonstrates initiative in reviewing company policies to ensure appropriate steps are taken when complicated posting situations arise and in keeping error ratio low.
Perform any additional and/or miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of their knowledge and ability.
Qualified candidate must excel in interpersonal communication, public relations, and customer service.
Must have the ability to work both independently and as part of a team.
They must excel in organization, attention to details and follow through.
Additionally, they must have the ability to problem solve to logical conclusion, demonstrate initiative and responsibility.
Must have good listening skills, and be able to effectively and clearly communicate (written and verbal) in English.
Candidate is required to be computer literate in a Practice Management System (EPIC) and MS Office programs, with strong skills in Excel.
Ten key by touch preferred.
Internal Number: MEM003847
About MemorialCare Medical Foundation
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.