Process Expert

Responsibilities:

• Payment Entry:

  Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks.

• Reconciliation:

  Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies.

• Claims Management:

  Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams.

• Reporting:

  Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow.

• Customer Communication:

  Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner.

• Compliance:

  Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting.

• Process Improvement:

  Identify opportunities for streamlining the payment posting process and contribute to best practices within the team.

Key Skills:

• Previous experience 1+ Year in payment posting, medical billing, or revenue cycle management in a healthcare setting is required.
• Strong knowledge of medical billing processes and payment posting practices.
• Proficiency in Microsoft Office Suite and healthcare billing software.
• Excellent attention to detail and strong organizational skills.

Responsibilities:

• Charge Entry:

  Accurately input and post charges into the billing system for a variety of healthcare services provided to patients.

• Data Verification:

  Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements.

• Reconciliation:

  Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly.

• Reporting:

  Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance.

• Collaboration:

  Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise.

• Compliance:

  Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry.

• Training:

  Assist in training new team members on charge posting procedures and best practices.

Key Skills:

• Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices.
• Proficient in Microsoft Office Suite and healthcare billing software.
• Excellent attention to detail and strong organizational skills.
• Self-motivated, analytical, and able to work both independently and as part of a team.

Intrested candidate can share their cv to Victor@suciglobal.com