Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software
Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency
Claims Completeness and Accuracy Verification: - Verify the completeness and accuracy of all claims prior to submission to insurance companies
Meeting Payment Posting Deadlines: - Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable
Interpretation of Explanation of Benefits (EOBs): - Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting
Attendance at Staff Meetings and Educational Sessions: - Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices
Additional Duties as Requested: - Perform additional duties as requested by the supervisory or management team to support departmental objectives
Data Entry for Payment Posting: - Enter necessary information for insurance claims, including patient demographics, insurance ID, diagnosis and treatment codes, and provider information, ensuring completeness and accuracy
HIPAA Compliance: - Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes
Patient Benefits Eligibility Verification: - Verify patient benefits eligibility and coverage as needed to ensure accurate payment posting
Data Security and Integrity: - Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements
Revenue Cycle Performance Analysis: - Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis
Policies and Procedures Development: - Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions
