May 12, 2023

Medical Claims Payment Poster

  • Marin Community Clinics
  • Novato, CA
  • $21.00 - $27.00 hourly
Full Time Other

Job Description

Responsibilities

  • Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment, adjustment, and denial codes.
  • Accurately and timely post payments received from third-party payers and patients through electronic and paper remittances, online payment portal, and patient payments to patient accounts and ensure that accounts are properly balanced and reconcile payment data to ensure consistency and accuracy.
  • Post zero pays received from third-party payers through electronic and paper remittances.
  • Identify and research discrepancies in payment postings and work with insurance companies to resolve any issues.
  • Reconciling unapplied account balances.
  • Sort and distribute mail to appropriate parties.
  • Managing electronic remittance advice and insurance correspondences.
  • Understand and follow payer guidelines and policies related to payment processing.
  • Maintain/run daily, weekly and monthly payment logs and reports and ensure completeness and accuracy of data.
  • Preparation of bank deposits.
  • Process refunds on a bi-weekly basis or as needed.
  • Ensure compliance with HIPAA and other regulatory requirements related to payment processing.
  • Identify opportunities for process improvement and work with management to implement changes, such Front Office failing to collect deductibles or copayments and While processing write-offs and adjustments.
  • Investigate unusual contractual adjustments. Communicate problematic trends to the Operations Manager.
  • Other duties as assigned.

Qualifications

Education and Experience:

  • High school diploma or equivalent (GED) required.
  • P2+ years of experience in payment posting/allocating payments per EOBs to patient accounts for commercial, contract, and government payers
  • Experience in large balances/payments within a hospital or physician setting highly preferred.
  • Knowledge of accounting principles and computer functions.
  • Knowledge of HIPAA regulations and patient confidentiality.
  • Experience with EPIC Electronic Health Records preferred.

Required Skills and Abilities:

  • Must be able to work independently and as part of a team to meet critical deadlines, communicate effectively with patients and insurance companies, and maintain the confidentiality of patient information in accordance with posting guidelines, organization policy & procedure, and HIPAA regulations.
  • Must be able to interpret EOBs, and identify and reconcile unapplied account balances where necessary.
  • Excellent attention to detail and organizational skills.
  • Strong communication skills.
  • Ability to work independently and within a team environment.
  • Proficient in Microsoft Office Suite.
  • Ability to navigate multiple computer screens and browsers quickly and accurately.

Physical Requirements and Working Conditions:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Use of mouse, keyboard and headset.
  • Must be able to lift up to 15 pounds at times.

Benefits:

Our mission informs our approach to your benefits program. Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.

 All employees are required to be fully vaccinated for COVID-19, including "health-care" required boosters as a condition of employment, subject to limited exemptions. New employees are required to provide proof of being fully vaccinated for COVID-19 and boosted before the first day of employment. If you completed your primary series, received an original booster and it has been more than 2 months from that booster dose - it is recommended, but not required that you receive the Bivalent booster. 

 Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

 MCC is an equal opportunity employer.  We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.   

Required Experience Level

Intermediate Level

Minimum Education

High School

Minimum Experience Required

2-4 years

Required Travel

No required travel