Physician Services Payment Posting Representative

Description

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 accomplish goals successfully.
• Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations.
• Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines.
• Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development.
• Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner.
• Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members.
• Focus on the Customer/Client – Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients. Makes every effort to meet clients’ needs.
• Communicates Effectively – Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker’s message without interruption. Tailors writing to audience using correct grammar and spelling.

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation and Benefit Information

Compensation

• Pay: $13.40 - $20.00 per hour. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Conifer observed holidays receive time and a half.

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.