MAIN POSITION REQUIREMENTS:
- Utilizes industry standard best practices to perform all aspects of receiving, sorting, batching and line item posting of charges and payments into the practice management system. Adjusts charge balances in accordance with Payer Explanation of Benefits (EOB) and Provider Contracts prior to posting. Identifies allowances, deductibles and co-insurance and ensures accurate posting. Reconciles electronic lockbox transactions, electronic remittances (ERA) and EFT payments. Reconciles check payments and updates Database Reconciliation Log. Posts denial transaction messages and assists with processing of appeals, as requested. Researches unidentified cash and resolves misdirected payments. Prepares Client deposits, as appropriate to the Client Services Agreement. Monitors and updates logs for deposits, balances, batch tracking and daily close. Prepares daily reports, including, but not limited to:
- Audit Journal
- Receipt Summary
- Close of Day
- Payments Applied
- Documents all account activity in the applicable patient management billing system, in accordance with Documentation Standards. Identifies appropriate escalation points and works with the Supervisor of Payment Posting, or delegate, to resolve issues. Maintains ongoing communication with other RCM staff. Consistently meets pre-defined RCM productivity metrics and performance standards. Maintains thorough understanding of changes in Federal and Third Party Billing Regulations. Performs all responsibilities in accordance with Meridian’s Policies and Procedures. Adheres to Confidentiality and HIPAA Privacy and Security Policies and Procedures. Attends required meetings and in-services.
