Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total.
• Research receipts that are not clearly marked for posting.
• Post payments to the appropriate account and makes notes required for follow-up.
• Posts zero payments to the appropriate account and makes notes required for follow-up.
• Maintains log of daily receipts and contractual posted.
• Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
• Responsible for consistently meeting production and quality assurance standards.
• Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
• Updates job knowledge by participating in company offered education opportunities.
• Protects customer information by keeping all information confidential.
• Processes miscellaneous paperwork.
• Ability to work with high profile customers with difficult processes.
• May regularly be asked to help with team projects.
• 3 years hospital payment posting, including time outside Trubridge.
• Display a detailed understanding of CAS codes.
• Post denials to patient accounts with the correct denial reason code.
• Post patient payments, electronic insurance payments, and manual insurance payments.
• Balance all payments and contractual daily.
• Make sure postings balance to the site's bank deposit.
• Adhere to site specific productivity requirements outlined by management.
• Serve as a resource for other receipting service specialists.
• Must be agile and able to easily shift between tasks.
• May require overtime as needed to ensure the day/month are fully balanced and closed.
• Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied.

Minimum Requirements:

Education/Experience/Certification Requirements

• Must be familiar with payment posting.
• Must have experience with Medicaid.
• Experience in CPT and ICD-10 coding.
• Familiarity with medical terminology.
• Ability to communicate with various insurance payers.
• Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
• Responsible use of confidential information.
• Strong written and verbal skills.
• Ability to multi-task.

Preferred Qualifications:

• Experience with Hospital Billing and California Medicaid

Why Join Our Team?

If you join us, you will receive:

• Work remotely with a work/life balance approach
• Robust benefits offering, including 401(k)
• Generous time off allotments
• 10 paid holidays annually
• Employer-paid short term disability and life insurance
• Paid Parental Leave