Receipt Entry Specialist II, Business Office, Downtown Nashville (PLZ)

SUMMARY:   Post payments and contractual adjustments both electronically and manually for all insurance carriers accurately and timely to ensure efficiency in the revenue cycle management process.  Other duties/responsibilities may be assigned.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Import Electronic Remit Advice (ERA) into Practice Management System (Allscripts)
• Posting of all insurance payments, denials and correspondence
• Reconciling daily batches against EFT report
• Effective verbal and written communication between departments (i.e. Managers, Insurance Analyst, Accounting)
• Ability to assist Insurance Analyst with trends, EOB discrepancies, payment posting transactions, etc.
• Recognizing Overpayments/Credits and reporting to Refund Specialist(s)
• Provide clear understanding of posted transaction by noting account accordingly
• Fulfill month end requirements

Qualifications

• Ability to work with little supervision
• Basic accounting background
• Prior medical office background
• Knowledge of payer denial / remark codes
• Sound knowledge of billing fundamentals to include CPT procedure codes, HCPCS drug codes, ICD-10 diagnosis codes
• Excellent attendance

EDUCATION and/or EXPERIENCE

• High school diploma or equivalent
• 2 years of heavy electronic remit posting (prefer 2-3 years)
• 1 years of Medical Billing experience (prefer 1-2 years)

KNOWLEDGE, SKILLS, AND ABILITIES

• Strong computer and ten key skills
• Highly productive
• Problem Solving
• Teamwork
• Detailed Oriented
• Organized

CERTIFICATES, LICENSES, AND REGISTRATIONS

• N/A

PHYSICAL DEMANDS

• Sitting for long periods of time in a quiet cubicle environment

WORK ENVIRONMENT

• Office environment-limited exposure to communicable diseases.