Should have 1 to 2 years of experience in Payment posting.
To understand Medical billing concepts and terminologies to post payments in billing software.
Exposure to Payment posting and denials.
Downloading EOBs from website, Analyzing and posting the Bank statement vs Reconciliation log - missing payments.
Apply insurance payments according to specific dates and procedures according to the EOB.
Having basic knowledge of insurances to identify Par / Non Par / WC / MVA/ etc.
Review and assess adjudicated claims for timely and proper payment of outstanding balances.
Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting.
Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes.
Responsible for achieving team’s performance standards (KPIs and SLAs).