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Payment Posting Clerk

Company: Lags Spine and Sportcare Medical Centers Inc
Location: Ventura
Posted on: December 27, 2019

Job Description:

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 complaint Lags 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. . 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 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 PI116478321

Keywords: Lags Spine and Sportcare Medical Centers Inc, Ventura , Payment Posting Clerk, Other , Ventura, California

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