Payment Posting QA Specialist - Physician Revenue Cycle Management

Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Medical Billing, Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business.

LOCATION: Remote 100%

Hours: Monday - Friday, 8:00 am - 4:30 pm.

Status: Full-Time, standard schedule

Benefits:
Benefits-eligible. We offer BCBS plans for health, dental, and Vision through EyeMed. We also have company-sponsored life Insurance, plus voluntary STD, LTD, critical illness, ID theft, travel insurance, 401(k), and much more. Benefits start the first of the month following your hire date.

Payment Posting QA Specialist - Physician Revenue Cycle Management - Onsite

The Payment Posting QA Specialist is responsible for the daily applications of cash processing and reconciliation of payments to the physician accounts receivables. Reviews AR postings to ensure payments are applied correctly and appropriately. Reconciles adjustments related to prior payments posted as well as auditing and correction of rejected payments. Research and resolve unapplied/unidentified cash postings. Responsible for identifying inappropriate adjustment/discounts taken by Payors and forwarding them to the appropriate Follow-up/Accounts Receivable Representative. Performs a daily audit to balances all cash application transactions to ensure accuracy to the Accounts Receivable and General Ledger. This position holds additional duties with respect to research, and participation in root cause analysis and identifying process improvements. As well as, participation in employee training and quality audits, with possible exposure to multiple practice management systems.

This role may assist with AR follow-up, claims denial management, revenue cycle collections, claim edit, charge entry, cash research and refunds as needed to support the needs of the client.

ESSENTIAL FUNCTIONS:

  • Under immediate supervision, responsible for the posting of daily bank deposits and the researching of exception items.
  • Applies payments, adjustments, and denials & ERAs to customers' accounts on a daily basis.
  • Researches check, credit card and EFT exceptions on a daily basis.
  • Responds to internal departments regarding payment and/or questions/issues. Escalates to Supervisor when necessary.
  • Reconcile all electronic postings for applicable Payors.
  • Reconcile unidentified accounts weekly to avoid unidentified payments remaining in the account longer than 15 days.
  • Perform an audit at the end of each day to ensure that all activities from lock box, vouchers and Cashier’s Office (live checks and credit cards) are balanced.
  • Analyze and resolve moderately complex electronic posting reconciliations and conducts reviews of own entry to prevent errors
  • Ensure payments were appropriately deposited to the correct bank accounts.
  • Maintains a desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged.
  • Update registration information, post denial codes and adjustments in practice management systems
  • Research and obtain required documents to resolve misdirected payment issues
  • Independently identifies root cause issues and effectively resolve complex misdirected payment issues; categorize error reasons and coordinate with management or other team members to ensure process improvements are completed
  • Completes reports and resolve high priority cash posting issues
  • Provide technical assistance, coaching and training to other team members
  • Provides periodic quality assurance checks
  • Assist in special projects assigned by management.
  • This role may assist with AR Follow-up, claims denial management, revenue cycle collections, claim edit, charge entry, cash research and refunds as needed to support the client needs.
  • Participate and attend meetings, training seminars and in-services to develop job knowledge.
  • Respond timely to emails and telephone messages from the staff and management.
  • Performs other related duties as required or requested.

REQUIREMENTS:

  • High School diplomas or equivalency
  • A minimum of 3 years of general office experience, specifically within roles requiring high volume numeric data entry with a focus on accuracy required.
  • A minimum of 3 years of experience in payment posting deposits, balancing, handling EFTs, ERAs, reconciliations in a medical billing or medical accounts receivables environment where this was the primary responsibility of your position
  • A minimum of 2 years’ experience in physician AR collections with complex denials and appeals management
  • A minimum of 1 year of prior experience translating payment posting error trending and quality assurance and translating these results into process improvements with minimum supervision required.
  • May be required to pass a typing and numeric entry pre-employment test
  • Attention to detail with the ability to identify/resolve problems and document the outcome
  • Ability to complete mathematical calculations in order to complete required reports.
  • Ability to effectively use a personal computer and working knowledge of spreadsheet application to perform data entry and analysis (must be intermediate in Excel and Word).
  • Interpersonal skills needed to explain and interpret ledgers and accounts to employees and managers.
  • Communication and interpersonal skills necessary to interact with internal/external customers in various circumstances.
  • Ability to collaborate effectively in a team setting in order to maximize quality and efficiently of operations.
  • Excellent organizational and time management skills. Ability to establish and meet deadlines while managing multiple priorities.

Strivant Health provides equal employment opportunities to all qualified individuals regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, age, national origin, physical or mental disability, military or veteran status, genetic information, or any other protected classification. At Strivant Health, we conform to the spirit and the letter of all applicable laws and regulations.

We are looking forward to reviewing your resume!

No agencies, please!

Search tags: Customer Service Rep, Patient Access, Patient Financial Rep, Scheduling Rep, Revenue Cycle, RCM, Accounts Receivables Rep, Patient Account Rep, Patient Service Rep, Account Rep, Medical Coding, Medical Credentialing, Medical Referrals, Medical Billing, Physician


Job Type: Full-time

@StrivantHealth

Location
Remote
Job Type
Full-Time Regular
Exempt or Non-Exempt?
Non-Exempt
Hours
8:00 AM - 4:30 PM
Scheduled Days
Monday - Friday
Position Id
201631