test

Contract

Posting Analyst

Purpose:
Applies all payments, adjustments, denials and requests for information received from the insurance carriers in the form of an Explanation of Benefit, Explanation of Payment, Remittance, as well as the payments from private parties, accurately to the patient account in the practice management system in a timely manner

Essential Duties/Responsibilities:
Applies transactions in practice management system via electronic or manual entry

Validates electronic remittance advice information prior to posting

Posts reason codes per the EOB on each line item

Ensures balance is correctly moved to the Next Responsible Party, i.e., secondary insurance, patient; prior to posting batch to practice management system

Balances each batch to the deposit amount prior to posting to practice management system

Ensures claims are accurately closed or re-opened as a result of a recoupment of payment

Applies logic and reason to identify and prevent trends and erroneous payments

Assists in identifying claims that are not paid according to negotiated contract

Balances payment and adjustment batches prior to posting to practice management system

Identifies and report reoccurring claim denials and erroneous payments

Maintains EFT records for clearing house-making sure that all remits are pulled off for the month and have been posted, including zero dollar ERAs

Maintains monthly deposit log, balancing payments posted daily

Identifies and initiates refund on overpayments created while posting

Begins refund process for deposited money not belonging to Wilmington Health

Other Duties:
As assigned by management

Required Skills

Posting Analyst Competencies

General

Customer Service

Professionalism/Integrity/Responsibility

Teamwork/Process Focus

Dependability/Punctuality

Interpersonal Relationships/Communication

Judgment/Decision Making/Problem Solving

Quality/Quantity

Initiative

Safety/Housekeeping

Organizational Skills/Time Management

Department Specific

Maintains high level of keying accuracy

Sharp attention to detail

General math ability

Understanding of explanation of benefits

Understanding of acceptable non-contractual write offs

Strong computer skills including, but not limited to, spreadsheets, word processing, file transfers, file uploading/downloading, and accessing files online

ADA Physical Demands:
Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Rarely

Sitting

Continuously

Walking

Rarely

Kneeling/Crouching

Rarely

Lifting

Rarely

Required Experience

Required:
High school diploma or equivalent

Strong proficiency working in a Windows environment

Proficiency with Microsoft Office Suite (Excel, Word, Outlook)

Company: Wilmington Health

Date: Sat, 24 Dec 2016

You May Be Interested In The Following Jobs:

Parttime

Fulltime

Fulltime

Company: Caisco Direct

Date: Sat, 19 Sep 2015

Contract

Company: Performant Financial Corporation

Date: Fri, 16 Sep 2016

About

Search for your next job and employment opportunities from our database to find high paying jobs in your local area.

Stay Connected