Payment Posting Specialist

Company: Lags Spine and Sportcare Medical Centers Inc
Location: Lompoc
Posted on: May 22, 2020

Job Description:

Description:
Lags Medical Centers is a multidisciplinary group with 40+ locations in five states. Since 2000, the LAGS alternative approach to pain treatments has returned patients to a healthy, active lifestyle: restoring function by minimizing pain. Lags Medical Centers has a great opportunity for a well-rounded Payment Posting Specialist. We are looking for an individual with a great attitude and desire to take your career to the next level.We require a minimum 2 years of experience posting payments/follow up, ICD-10, CPT, HCPCS coding systems and E&M Auditing. Candidate must have the ability to work toward creating and maintaining good relationships with physicians, supervisors, co-workers, insurance carriers and patients. Additionally, ideal candidate will foster working as a team; dealing with and resolving conflict in a timely, efficient and positive manner.

• Posting Medical Payments
• Audits insurance information for appropriateness in current billing system and is able to quickly identify underpayments or other trends that may negatively affect cash flows
• Will follow up with payers on denials and under payments
• Follows timely filing guidelines per payer to ensure maximum payment
• You will ensure posting of payments meet standards set by medical corporation
• Responds to patient or insurance representative calls in a timely and professional manner
• Reviews the terms of service performed, sliding fees, third party payments and payment collection with patient via telephone
• Maintains infrequency of denials in the billing process. Ensures that electronic and paper payments are accurate and completed timely
• Notifies supervisor of unusual occurrences and adheres to policy regarding incident forms and/or patient complaints
• Verifies and ensures competency when utilizing EMR and billing systems Lags Medical Centers offers a comprehensive benefit package that includes medical, dental, vision, life, 11 Paid Holidays, 401k, PTO, a life / work balance and much more!.
  
  Requirements:
  We require a minimum of 2 years Payment Posting Experience. High attention to detail and excellent communication skills required. In additional we require the following:
  • Knowledge of payment posting processes
  • Knowledge of adjustment codes and denial reasons
  • Knowledge of health insurance programs, coverage offered and third-party reimbursement mechanisms, including Medicare, Medi-Cal, PPO, HMO, IPA, PMG, Military and Veteran, Workers Compensation and their billing guidelines and processes
  • Knowledge of eligibility, benefits and authorizations processes
  • Knowledge of electronic medical record systems
  • Knowledge of ICD-10, CPT and HCPCS coding systems
  • Knowledge of manual and electronic billing systems and procedures
  • Effective communication to peers, supervisors and patients and to handle stressful situations appropriately
  • Ability to read and interpret explanation of payment from different payers
  • Ability to prioritize work and able to work with little or no supervision
  • Ability to maintain confidentiality of information, most importantly patient financial and medical information
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
  • Strong Excel, Word and Power Point skills
  • Willingness to learn, understand and abide by company policies and procedures PI120345597

Keywords: Lags Spine and Sportcare Medical Centers Inc, Lompoc , Payment Posting Specialist, Other , Lompoc, California