Job Title: Payment Processor
Department: Payment Processing
Location: San Antonio, Texas (on site)
Reports To: Senior Manager, Patient Accounts
FLSA Status: Non-exempt
Summary of Position:
Posts payments to patient accounts in accordance with departmental procedures, standards and operational needs.
Job Responsibilities:
- Process payments, adjustments, denials, and transfers from EOBs, electronic files, and/or patients in accordance with departmental procedures, standards and operational needs
- Post zero-dollar responses from EOBs and electronic files in accordance with departmental procedures, standards and operational needs
- Post Correspondence from EOBs and electronic files in accordance with departmental procedures, standards and operational needs
- Process EORs (Explanation of Review) for communication on accounts
- Troubleshoot accounts for billing and reimbursement errors
- Verify and correct insurance information prior to posting payment/credit
- Meet weekly goals with team to maintain timely payment posting
- Required to meet departmental quality and production standards
- Work error/action required reports, UNID, emails/inbox daily
- Resolve balancing/recoup issues, involve the Lead or AR Specialist when needed
- Complete daily time analysis; verify transactions entered in PAD are correct
- Work all remit credits, add insurance, etc. rejections daily to close and balance folders
- Assist peers and leads with inventory and oldest dates, meeting department and individual goals
- Act as backup to Customer Service department, taking patient calls on a rotating basis and as volume requires
- Become cross-trained to support other departmental needs, as directed or assigned.
- Perform other duties as required
Supervisory Responsibilities:
None
Experience / Skill Requirements:
- Healthcare billing experience with working knowledge of reading EOBs
- CPT and ICD-10 coding experience helpful
- Working knowledge of cash applications
- Excellent communication and interpersonal skills
- Type 35 wpm, excellent 10-key by touch
Education:
High School Diploma or GED
Attendance / Work Schedule:
Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include "light duty" work or allow unpredictable or unrestricted absences.