City
 
Date Posted
10 / 11 / 2019
Grade
15
Hours Required
30 hours
Department
Physician Billing
Schedule
Part-Time
Education
High School or Equivalent Required
Location
1 Arsenal Marketplace, Watertown, MA

Accounts Receivable/Cash Poster

1 Arsenal Marketplace, Watertown, MA

Description:

Principal Duties and Responsibilities 

1.1. Receive daily posting batches and ensure cash posting receipts are recorded and posted within a reasonable time frame to avoid work backlog.

2. Post denials and move account balances to the appropriate billing bucket, determined by the contents of the remittance of denied balance.

3. Identifies and reports any payments that maybe askew from published department fee schedule.

4. Reviews remittances and identifies trends in denials to ensure that our future claim submissions are clean.

5. Using tape/paper/electronic and other available media, ensures that all research, cash posting activities are completed within the established time frame.

6. Ensures that all paper claims/tape/electronic remittances are reviewed for accuracy, Ensures on line data entry of cash receipts are balanced before batch is closed, scanned or filed away.

7. Ensures on line data entry of cash receipts are balanced before batch is closed and files away.

8. Ensures on-line data entry of account changes and comment documentation is completed for all activities that take place as part of the billing and collection process for the resolution of outstanding balances.

9. Ensures that all clients associated with MAPS for whom we may receive payments are identified, copied and send off to respective billing companies. (HB, HH, ARMS)

10. Processes refund requests in accordance with departmental policy and procedure. Attach corresponding EOB and note clearly and detailed reason for refunding.

11. Recommends improvement strategies to reduce errors in cash posting department.

12. Reconciles remittances with account balances, and identifies and logs any variances, and notifies supervisor of unresolved issues and discrepancies.

13. Retrieves remittance batches and other documentation as requested.

14. Interchanges and assists as backup for coworkers as needed.

15. Address each WQ assigned on a daily basis and try to reconcile as many items as possible.

16. Assist A/R Billers with any questions they may have regarding postings or EOB's received.

17. Contact Insurance companies regarding distribution of payment if EOB is not detailed or doesnt not contain enough posting information.

18. Use online Websites to obtain posting information.

19. Resolve unapplied / undistributed payments (Self and Insurance).

20. Reconciliation of Self Pay payments.

21. Identify errors and communicate inconsistencies to Payment Manager.

22. Assists with audit documentation gathering as required.

23. Complete all necessary reports and posting for month end.

Requirements:

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED 

1. Associate’s, vocational, or technical degree in a related field, High school graduate or GED completion.

2. Extensive knowledge of the application of HMO or other third party payor rules, regulations, guidelines, and requirements for billing, collection, and reimbursement appeals. A basic understanding of how these regulations are applied to Massachusetts providers, normally acquired through one year of experience in an automated medical billing and collection environment for a medical service provider and/or third party payor, preferable a large volume physician practice, or equivalent related experience.

3. Knowledge of personal computer systems and ability to learn work processing and database.

4. Ability to use a calculator, Blue Shield, Medicare, Medicaid and other third party computer/electronic application systems efficiently and effectively.

5. Excellent communication skills and ability to effectively communicate with various levels of staff and clients.

6. Ability to work independently in a fast-paced environment.

7. Completion of a medical terminology course and comprehensive knowledge of CPT-4 and ICD-10 coding, which can be learned on the job.