Job Description:

· Should have a minimum of 1-2 years of payment posting job experience

· Must possess strong domain knowledge

· Ability to multi-task and should demonstrate excellent analytical skills

· Ability to work on charges and payments

· Good stakeholder management skills

· Should possess good communication skills

· Review and assess adjudicated claims for timely and proper payment of outstanding balances

· Research and forward unpaid claims as necessary to appropriate team

· Enter zero payment batches daily, including denials, correspondence, etc.

· Submit adjustment requests daily as necessary

· Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting Identify liability and guarantor hierarchy and transfer balances timely and appropriately

· Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes

· Forward underpayments with insurance carriers to third party collectors Identify patient refunds and enter in a timely manner

· Meet productivity goals/ benchmarks as set and communicated by A/ R leadership

· Serve as primary customer service representative for clinic inquiries/ calls , patient inquiries/ calls, and insurance inquiries/ calls

· Maintain confidentiality of patient information

· Work collaboratively with other Coding, Billing, Patient Access, third party collectors and Cash Receipts Specialists as needed