Medical Payment Posting & Reconciliation Specialist

The Medical Payment Posting & Reconciliation Specialist will manage accounts receivable billing and collection of payments for all designated payers and designated locations to meet and maintain goals. They will monitor A/R aging, accessing the accounts for further attention by involving the A/R; collect balances to ensure statements are processed and paid promptly. They will also manage and reconcile all payments; make sure it is posted into the patient’s account with the correct amount and adjustment.

Duties & Responsibilities:

• Post all personal, insurance and liability payments from Remittance and EOBs to appropriate accounts with minimum errors.
• Apply manual payments and auto payments to accounts for payor types of Medicaid Insurances.
• Analyze EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances.
• Scan all EOBs into the system and create hardcopy file for original EOBs by day.
• Add appropriate ANSI denial codes and comments to assure all necessary appeals and post payment follow up can take place.
• Investigate the source of unidentified payments to ensure they are applied to appropriate accounts. If necessary, will contact the sender to clarify where the payment should be posted.
• Reconcile shortage on both paper and electronic EOBs to determine proper allowance and correct write off.
• Assist in updating the Direct Deposit Daily.
• Assist in performing comparison of downloaded files to the Direct Deposit and correct any discrepancies.
• Send all batch reconciliation information to the Finance department.
• Assist in performing check deposits and assembling logs daily.
• Research inquiries in a professional and courteous manner and work with Accounts Receivable team members, to identify and resolve escalated customer concerns in a timely manner, potentially without direct Supervisor oversight. Partner with Team Lead and Supervisor to develop solutions to repeat customer concerns.
• Act as point of contact for the team when Supervisor/Manager/Team Lead are unavailable for cash posting issues.
• Perform other duties as assigned to support Medical Guardian Mission, Vision, and Values.

Requirements

• Data entry skills and working knowledge of computer required. 
• Exceptional customer service and interpersonal communication skills. 
• Proficient in examining documents for accuracy and completeness. 
• Ability to multitask and manage time effectively. 
• Ability to handle payment in accordance with detailed instructions.

Travel requirements:

• Ability to travel to the Philadelphia office twice a week on assigned days.

Education and/or experience:

• High School diploma required; associate or bachelor’s degree in business, Finance or Accounting preferred.

Language skills: 

• Ability to read, analyze, and interpret general health and social services guidelines, technical procedures, or governmental regulations.
• Ability to effectively present information and respond to questions from groups or patients, staff, and the public.

Benefits

• Health Care Plan (Medical, Dental & Vision)
• Paid Time Off (Vacation & Public Holidays)
• Short Term & Long Term Disability
• Retirement Plan (401k)