RCMS Posting Associate I na Qualifacts

Job Description:

Key Responsibilities:

1. Accurate Payment Posting:

- Accurately post all insurance and patient payments by line item using medical claim billing software.

2. Meeting Payment Posting Deadlines:

- Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable.

3. Interpretation of Explanation of Benefits (EOBs):

- Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting.

4. Attendance at Staff Meetings and Educational Sessions:

- Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices.

5. Additional Duties as Requested:

- Perform additional duties as requested by the supervisory or management team to support departmental objectives.

6.Training and solving queries:

- To help the team with their queries and concern, help the team to reach their goals and required accuracy while posting.  

7. HIPAA Compliance:

 - Follow HIPAA guidelines and maintain patient confidentiality when handling           sensitive information during payment posting processes.

8. Data Security and Integrity:

 - Maintain the security and integrity of practice data being worked on to protect               sensitive information and comply with regulatory requirements.

9. Revenue Cycle Performance Analysis:

 - Obtain a clear view of revenue cycle performance through accurate payment           posting and data analysis.

10. Policies and Procedures Development:

- Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions.

Qualifications:

- High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, Commerce/Arts or related field preferred.

- Minimum of 0 to 1 years of experience in medical billing or revenue cycle               management, with a focus on payment posting.

- Strong attention to detail and accuracy in data entry and payment reconciliation.

- Knowledge of medical billing software and electronic health record (EHR) systems.

- Familiarity with insurance EOBs and payment reconciliation processes.

- Understanding of HIPAA regulations and patient privacy requirements.

- Excellent communication and interpersonal skills.

- Ability to work independently and collaboratively in a fast-paced environment.

- Commitment to meeting deadlines and achieving departmental goals

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.