Accounts Receivable Specialist

Job Title : Revenue Cycle Management ( RCM) Payment Poster

Work Type : Contract to Hire

Location : Davie, Florida

• Travel - Must be able to travel on a daily and / or overnight basis.
• May be required to work nights or weekends.

Work Type : Contract

Essential Job Functions :

• Accurately post payments and adjustments to patient accounts, including insurance payments, patient co-pays, and other financial transactions.
• Accurately post payments and adjustments to patient accounts, including insurance payments, patient co-pays, and other financial transactions.
• Verify and match payments with open claims, ensuring that all claims are properly adjudicated, and payment amounts are accurately reflected.
• Maintain detailed records of all payment transactions, adjustments, and reconciliations. Ensure that all documentation is complete and accessible for audit purposes.
• Identify and address discrepancies or errors in payment postings. Investigate and resolve issues related to denied or underpaid claims.
• Generate and review reports related to payment posting and reconciliation activities. Provide updates to management on any issues or trends observed.
• Generate and review reports related to payment posting and reconciliation activities. Provide updates to management on any issues or trends observed.
• Ensure that all payment posting activities comply with healthcare regulations, payer guidelines, and company policies. Maintain confidentiality of patient information in accordance with HIPAA guidelines.
• Assist in identifying and implementing process improvements to enhance the efficiency and accuracy of payment posting procedures.

Required Knowledge, Skills, & Abilities :

• High School Diploma &three (3) years of medical accounts receivable, payment posting, or a related role -OR- Associate’s degree & two (2) year in healthcare claims processing, revenue cycle management, or a related role.
• Proficient knowledge of MS Office Suite (Outlook, Word and Excel).
• General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction.
• Proficient skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Advanced understanding of written sentences and paragraphs in work-related documents.
• Proficient skills in considering the relative costs and benefits of potential actions to choose the appropriate one.
• Advanced skills in communicating effectively in writing as appropriate for the needs of the audience.
• Proficient skills in identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
• Proficient skills in actively looking for ways to help people.
• Excellent verbal and written communication skills, with the ability to create engaging content.
• The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
• The ability to apply general rules to specific problems to produce answers that make sense.
• The ability to combine pieces of information to form general rules or conclusions (including finding a relationship among seemingly unrelated events).
• Ability to work effectively with colleagues and supervisors.
• Ability to enter and verify information with accuracy.
• Ability to maintain confidential information.

Preferred Qualifications :

• Strong focus on accuracy in handling financial transactions and reconciling accounts.
• Knowledge of payer policies and regulations, including Medicare, Medicaid, and private insurance guidelines.
• Proficiency in claims management software and electronic health records (EHR) systems, such as Epic, NextGen, or similar.
1 day ago