Physician Services Payment Posting Representative - Remote

JOB SUMMARY 

The Payment Posting team is responsible for posting payments, adjustments, and denials from healthcare third party insurance payers and patient to open patient claims, using multiple practice management systems. The core responsibilities of a Payment Poster Specialist are to accurately and efficiently enter remittance information provided from the insurance carriers. All job functions are required to be completed with a minimum number of errors and are subject to routine quality reviews. Associates must be able to work independently in a fast-paced environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes
• Enter alphabetic, numeric or symbolic data such as denial codes into system, following the format displayed on screen
• Reconcile cash batch supporting department cash control policies and procedures
• Complete batch posting with 98% accuracy
• Identify incomplete information necessary to post remittance, contact supervisor to resolve questions, inconsistencies or missing data
• Learn computer applications as they relate to denial management systems; proficiency in at least 1 of the multiple practice management systems (Epic, IDX, ADS) used by SPi Healthcare
• Other duties as assigned by supervisor or management

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

• High school diploma or equivalent
• +1 years experience in healthcare insurance billing, knowledge of third party insurance in regards to plan types (HMO/PPO/POS and Indemnity) 
• Strong data entry skills; ability to input a high volume of information 
• Proficient 10 key skills, subject to testing
• Attention to detail – ability to maintain speed while upholding accuracy
• Knowledge of CPT, ICD-9 or medical terminology preferred
• Ability to perform simple analysis and discuss with Supervisor
• Skilled in Microsoft Office: Word and Excel

POSITION COMPETENCIES: 

• Displays Adaptability – Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles. 
• Shows Reliability – Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to …