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Payment Posting Specialist

Company: Lags Spine and Sportcare Medical Centers Inc
Location: Lompoc
Posted on: February 3, 2020

Job Description:

Looking for a well-rounded Payment Posting Specialist. Ideal candidate has 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 and is willing to mentor and train non-billing staff about insurance and billing workflows pertinent to their particular job functions (i.e. front office, collections, eligibility, benefits and authorizations teams, etc).

  • 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
  • Verifies and ensures competency when utilizing EMR and billing systems
  • Ensures provider correction requests are responded back to billing in timely manner
  • Notifies supervisor of unusual occurrences and adheres to policy regarding incident forms and/or patient complaintsLags Medical Centers offers a comprehensive benefit package that includes medical, dental, vision,life, 401k, PTO and much more!LAGS Medical Centers is a pain management group operating throughout California, Oregon, Washington & Nevada. Since 2000, the LAGS alternative approach to pain treatments has returned patients to a healthy, active lifestyle: restoring function by minimizing pain. LAGS has grown to care, at scale, for a large base of underserved (Medicaid/Medicare patients), who often experience challenges in accessing healthcare. Our 40+ clinics are ideally equipped to serve these and many other patients across 22 counties..

    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 chart review and documentation auditing
    • Knowledge of manual and electronic billing systems and procedures
    • Knowledge of appeals and appeals process for different payers
    • 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 PI117272413

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

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