Patient Collections & Payment Poster

Job Overview

Orthopaedic Medical Group of Tampa Bay is a fast-paced and well-established Orthopaedic practice with 9 locations, and one ambulatory surgery center (ASC).

The Patient Collections/Payment Poster is responsible for posting insurance carrier, collection agency, and government agencies payments to the practice management system using established policies and procedures. The ideal candidate will have experience in medical collections and payment posting.

Job Duties:

• Scan mail and create batches for posting
• Download & post all payments into HST Practice Management from batch [Electronically and manually]
• Upload all appropriate documents to designated folders
• Reconcile and balance payments between batch and HST daily
• Verify and post all denials, and apply assigned price adjustments accordingly
• Verify all secondary claims are submitted (not dropped to patient)
• Review unapplied transaction report to ensure there are none missing at EOM [End of Month]
• Review and generate accurate patient statements including collection letters, phone calls, and text messages
• Monitor aging of all patient balances (Including statements, collection letters, and phone calls or text messages)
• Establish payment plans for outstanding balances
• Review patient credits and refund requests to submit to management
• Understand fee schedules for underpayments claim routing
• Navigate portals to obtain missing EOB's [Explanation of Benefits]
• Assist collectors in resolving cash application issues and completing all collector requests
• Handles calls and concerns from patients
• Contact insurance companies to resolve unapplied payments
• Contact patients to resolve eligibility issues to include updating coordination of benefits
• Demonstrate and apply basic knowledge of payment posting such as insurance, EFT, patient, credit card, offsets, future takebacks, forwarding balances, and recoupments according to fee schedules
• Review and process medical records requests
• Review and process returned mail
• Creates daily reports provided to management as needed
• Additional medical billing duties as required

Qualifications:

• High School Diploma
• Minimum 1 year experience in medical billing and collections required.
• Knowledge of reimbursement guidelines, CPT and ICD-10codes, payor contracts and plans.
• Excellent communication, organization, and computer skills.
• Detail and customer service oriented.

Physical Requirements:

• Requires sitting and standing associated with a normal office environment.
• Manual dexterity needed for using a ten-key calculator and/or computer keyboard.
• Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus.

Environmental Working Conditions:

• Normal office environment.
• The noise level of the work environment is usually moderate.

Work Remotely: No

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Experience:

• Medical billing: 1 year (Required)
• Medical office: 1 year (Required)

Ability to Commute:

• Lithia, FL 33547 (Required)

Work Location: In person

Pay: From $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Experience:

• Accounts receivable: 1 year (Required)
• Medical billing: 1 year (Required)
• Appeals: 1 year (Preferred)

Ability to Commute:

• Lithia, FL 33547 (Required)

Work Location: In person