- Process payments:Accurately post payments from insurance companies (ERAs) and patients into the billing system.
- Reconcile accounts:Match payments against submitted claims and reconcile electronic and manual postings.
- Resolve discrepancies:Investigate and resolve payment issues, underpayments, or denials by identifying and correcting errors.
- Communicate:Interact with billing teams, and sometimes patients or insurance representatives, to clarify payment issues.
- Maintain records:Keep detailed and accurate financial records and ensure compliance with regulations.
Required skills and qualifications:
- Technical skills:Proficiency in medical billing and payment posting software, and electronic health record (EHR) systems is often required.
- Knowledge:Understanding of medical coding (CPT,ICD-10, HCPCS), insurance policies, and revenue cycle management.
- Attention to detail:A high degree of accuracy is essential for correct payment posting and financial record-keeping.
- Organization:Strong organizational skills to manage multiple accounts and payment types.
- Communication:Good written and verbal communication skills for internal and external interactions.
- Experience:At least 1-2 years previous experience in medical billing and payment posting is desired.
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