Payment Posting Specialist (Remote) Job – King of Prussia, PA 2022-7826

Company Overview:

CHE is a premier provider of behavioral health services in 14 states and continues to grow into new markets. CHE has been operating since 1995 and employs over 800 psychology and psychiatry providers to deliver care virtually and in person at various care settings. We deliver a unique programmatic approach to behavioral health services and are focused on quality and compliance for facilities and in our outpatient settings. Backed by a leading private equity investment firm, we are looking for aggressive, talented, ambitious, engaging, innovative, and all-around balanced individual to join our team.

General Summary:

In this hourly position, the Payment Posting Specialist is responsible for posting claims receipts, analyzing explanation of benefits ("EOB") data and resolving denials.

Qualifications:

High School Diploma or equivalent
Minimum of one year of work in a billing, intake, or A/R medical billing office
Experience in processing, interpreting and understanding insurance company Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) preferred.
Minimum of one (1) year in medical insurance authorizations, medical billing collections or another relevant role.
Experience working with Medicare and Medicaid remittance and payments preferred.
Experience working with commercial insurance carriers (Blue Cross/Blue Shield, United Healthcare, etc.)

Responsibilities:

Post claims receipts within 48 hours into the patient management system using accurate receipt date.
Analyze Explanation of Benefits (EOB) to identify denials, payments and recoupments.
Research unapplied payments, overpayments and under payments to identify the correct processing procedure for the payment.
Post recoupments into patient management system using accurate recoupment date.
Submit secondary and tertiary insurance bills.
Prepares refund requests.
Reconciles cash posting batches daily.
Maintain a working knowledge of all health information management issues such as HIPAA and all health regulations.
Maintain strict confidentiality.
Coordinate with other revenue cycle departments for follow up on claim denials.
Other reasonable job duties as assigned

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