The Medical Biller/Poster works in direct support of all clinical programs, ensuring payments are processed and posted in a timely manner. In addition, this position manages the refund process for all insurance payers as well as WQ items related to insurance credits, undistributed payments etc.
Accurately record payments and adjustments received via ERA (electronic remittance advice) and office mail in a timely manner.
Review payment batches to ensure accuracy.
Daily reconciliation of POS payments, payments received via mail and ERA to EMR.
Post all rejections by insurance companies.
Research insurance overpayments and process refunds where appropriate.
Manage and maintain accurate records of all payments received daily and ensure all are reconciled daily and monthly.
Work in conjunction with the Finance Department to ensure accuracy of records.
Collect and distribute mail daily.
Assist in researching items for claim follow-up and claim denials.
Performs other duties as assigned.
SUPERVISORY RESPONSIBILITY
No supervisory responsibilities.
WORKING ENVIRONMENT/PHYSICAL DEMANDS:
General office environment, requiring computer usage (prolonged sitting, eyestrain).
TRAVEL
No travel required.
REQUIRED EDUCATION AND EXPERIENCE:
Minimum of three years' experience in medical billing and payment posting/reconciliation
EMR experience preferred, Epic experience a plus.
Strong attention to detail.
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
ID: 2021-1407
External Company Name: CMU Health
External Company URL: https://cmuhealth.org/physiciancareers