Payment Posting Coordinator - United Surgical Partners International

New Mexico Orthopaedic Surgery Center is seeking a Payment Posting Coordinator to join the team!

Job Summary: Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwarding appeals to the collectors, requesting refunds as needed, posting refunds in the PAS when processed, and entering approved account adjustments to accounts.

Reporting Relationship: Reports to the Business Office Manager

Essential Duties and Responsibilities: Include the following. Other duties may be assigned.

• Posts insurance and patient payments into the PAS per our contract and the EOB.
• Posses’ strong knowledge in centers Managed Care contracts to accurately calculate insurance allowable.
• Puts comments in the account for explanation of any discrepancies in payment.
• Notifies the collector(s) of any appeals.
• Identifies any immediate refunds and requests them per our policy and procedures.
• Applies all other overpayments to the account and sends a letter of overpayment to insurance company.
• Requests refunds when appropriate.
• Posts refunds in PAS after BOM and Administrator have approved. Ensures all documentation is complete.
• Mails refunds to patients and insurance companies.
• Transfers payments from one account to another at time of recoup.
• Adjusts accounts per our contract at time of payment when necessary.
• Maintains three batches per day, one for mail payments, one for over the counter payments and one for credit cards. Balances batches with Accounts Payable and deposit.
• Receives, screens, and routes incoming calls in a professional manner by the third ring.
• Is crossed trained to effectively perform other business office duties as assigned.

To perform this job successfully, an individual shall be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability require.

• High School education and/or equivalent; up to one year of related experience or training or equivalent combination of education and experience.
• Shall have demonstrated computer skills.