Jobs and Careers at the U.S. Medical Management Talent Network

Accounts Receivable Posting Specialist

Department: Billing
Location: Troy, MI
Company: USMM

Accounts Receivable Posting Specialist

U.S. Medical Management (USMM), an affiliate of a leading Fortune 250 company, manages a nationwide continuum of premier providers of medical services delivered primarily to the homes of elderly and homebound patients. Providing primary home care is the future of medicine, and at USMM, the future is now. With the knowledge and experience to address the evolution of healthcare, USMM is poised for a phenomenal future.

Position Description

This position is responsible for daily bank deposit and for accurately posting payment/ adjustment and/or denial, under the correct insurance, onto patient accounts. Ensure adjustments and payments match the EOB, the status is correct, reason codes are used, and copies of the denials are provided to the appropriate departments. Process electronic remittances; perform daily check balancing, and error corrections, in accordance with established policies and procedures. Prepare & create refunds at the time of payment entry. Print all secondary and tertiary claims that cannot go electronically when the batches are completed.

Essential Duties and responsibilities

  • Pick up the mail from the post office
  • Open and sort all incoming mail and distribute to the appropriate department for processing
  • Completes bank deposit slips for manual payments received. Delivers the original deposit slip to the accounting department and deposit all checks received electronically
  • Totals transactions on EOBs and RAs and verifies that balances total the respective deposit
  • Receives the electronic deposit confirmation via email from the bank for all line of business, downloads the images of corresponding paper Explanations of Benefits (EOBs) and prints electronic Remittance Advice (RA) reports from the electronic data interchange vendor (GE-Centricity)
  • Creates a batch by payer and/or deposit date and totals each batch
  • The A/R Posting Specialist is expected to accurately read the explanation of benefits and post payments, denials, and adjustments to the specified encounters, in accordance with established policies and procedures
  • Ensures payment, adjustment and denial transactions posted are balanced to the deposit slips and reconciled according per established policies and procedures. Generates a payment application report daily. Escalates complex transactions and issues to the supervisor as appropriate
  • Reports any underpayments and/or payments discrepancies to Billing Claims Specialist
  • Works to identify the appropriate account for unidentified cash and ensures all cash is posted within the current established timelines
  • Ensures all postings are completed to meet month end and year end requirements
  • Reports any changes in patientís coverage to Insurance Verification Team prior to payment posting
  • Perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability
  • Maintain the strictest confidentiality in accordance with all HIPAA guidelines/regulations

REQUIRED Knowledge, Skills and Experience

  • High School Diploma or Equivalency required
  • Working knowledge of healthcare code sets, payment adjudication, reduction concepts, and bundling policies
  • Basic understanding of payer contracting and credentialing
  • Knowledge of multi-specialty physician guidelines according to Medicare, Medicaid, Commercial, and third party payer policies
  • Understanding of basic accounting principles and be well organized
  • Ability to perform mathematical computations
  • Skill in defining problems, collecting data and interpreting payment information
  • The ability to work effectively with staff, patients, public and external agencies
  • Good customer service and telephone techniques required as well as a high level of confidentiality

Preferred Knowledge, Skills and Experience

  • Certification in Medical Billing/Coding †
  • Revenue Cycle/ Accounts Payable / Banking Experience

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