Billing & Cash Posting - US Healthcare

Role & responsibilities

• Accurately post all payments (electronic, checks, credit cards, etc.) to patient accounts in the billing system.
• Ensure all payments are applied to the correct accounts and invoices.
• Identify and resolve discrepancies between posted payments and actual deposits.
• Post adjustments, write-offs, and denials as per payer contracts and company policies.
• Identify trends in denials and underpayments and communicate findings to management.
• Identify billing errors and make necessary corrections to avoid claim denials.
• Ensure timely and accurate submission of claims to payers.
• Manage the resolution of denied claims by identifying root causes and correcting errors.
• Resubmit corrected claims to payers for reimbursement.
• Track and report on claim correction activities and outcomes.
• Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies.
• Stay updated on changes in billing regulations and payer requirements.

Preferred candidate profile

• Bachelors degree in business or accounting major is preferred.
• 1 to 6 years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts.
•  Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations.
• Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims.
• Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.