RCM Payment Processor

Insurance And Patient Payments Specialist

Ensure all insurance and patient payments are posted quickly and accurately. Responsibilities include, but are not limited to, the following :

Daily Duties

• Posts all insurance and patient payments by line item; batches them according to protocol
• Alerts Manager when payments do not match contractual amounts; looks for underpayments and silent PPOs
• Processes requests for refunds, and submits to Manager for approval
• Ensures lock box totals balance with what is posted into the computer system
• Maintains working knowledge of charge entry, and insurance follow up protocols; provides back-up Reimbursement Specialist as needed

Other

Supervisory Responsibilities : This job has no supervisory responsibilities.

Typical Physical Demands : Physical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and vision must be correctable to normal range to record, prepare, and communicate appropriate reports.

Typical Working Conditions : Normal office environment. Occasional evening or weekend work.