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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. Entering approved account adjustments to accounts. 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.
Job Responsibility:
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
Entering approved account adjustments to accounts
Calculating insurance allowable using knowledge of Managed Care contracts
Putting comments in the account for explanation of any discrepancies in payment
Notifying the collector(s) of any appeals
Identifying any immediate refunds and requesting them per policy and procedures
Applying all other overpayments to the account and sending a letter of overpayment to insurance company
Posting refunds in PAS after BOM and Administrator have approved
Ensuring all documentation is complete
Mailing refunds to patients and insurance companies
Transferring payments from one account to another at time of recoup
Adjusting accounts per contract at time of payment when necessary
Maintaining three batches per day (mail payments, over the counter payments, credit cards)
Balancing batches with Accounts Payable and deposit
Receiving, screening, and routing incoming calls in a professional manner by the third ring
Being cross trained to effectively perform other business office duties as assigned
Requirements:
High School Diploma and/or equivalent
up to one year of related experience or training or equivalent combination of education and experience
demonstrated computer skills
What we offer:
Medical, dental, vision, and prescription coverage
Life and AD&D coverage
Availability of short- and long-term disability
Flexible financial benefits including FSAs and HSAs