Medical Billing Payment Posting Specialist - BHI

Basic Home Infusion is a national home infusion company located in Wayne, NJ that is seeking a Medical Cash Application Specialist with experience in medical payment posting. We are looking for someone who is eager to learn in a growing company.

Essential Job Functions:

• Post payments and make adjustments accurately based on contracted rates and patient’s individual health plans
• Retrieve payments from various provider portals
• Review electronic remittance advice posting (where applicable) for proper application to system records
• Adjust system reported Accounts Receivables (AR) balances to third-party EOB’s through the payment posting process
• Meet position’s goals and objectives related to accuracy and productivity e.g. posting accuracy, Accounts Rec/EOB reconciliations, etc.
• Read and interpret third-party explanation of benefits (EOB)
• Receive and complete requests from team members regarding missing checks and inaccurate postings
• Work with the Accounting Department to complete month end reconciliation process
• General knowledge of major medical insurance practices and carriers
• Reconcile EFT and check payments daily
• Balance financial reports
• Report payment discrepancies to AR Manager
• Track and research unapplied cash, complete root cause analysis, and escalate to management as necessary
• Perform additional duties as assigned
• Must be able to use critical thinking to problem solve on a regular basis
• Ability to work independently but also follow oral and written instructions
• Time Management skills
• Capable of meeting deadlines with little to no supervision
• Comply with and adhere to all regulatory compliance areas, policies and procedures (HIPAA and PCI)
• Highly attentive to detail and organization
• Establish and maintain effective working relationships and communicate clearly with other departments, patients, vendors and insurance companies

Qualifications:

• High School Diploma or GED
• College degree or Accounting experience preferred
• 1+ years posting experience in a medical setting preferred
• Working knowledge of debits and credits
• Experience in reading and interpreting explanation of benefits (EOB) from various insurances
• Electronic payment posting experience
• Knowledge of CPT/HCPCS codes and ICD-9-CM/ICD-10-CM diagnoses codes