Job Details
Job Type
Full-time
Description
Maryland Wellness (formerly known as BACHS Healthcare) is seeking a detail-oriented Payment Posting Specialist to join our team! As part of the Billing Department, this position's primary responsibilities are to complete tasks associated with posting, adjusting, and monitoring patient accounts receivables. As a Payment Posting Specialist, you will be expected to proactively research, identify, and rectify any circumstance affecting delayed submission or payment of accounts. This position requires an analytical individual who is well versed in interpreting Explanation of Benefits from payors of all financial classes and has excellent attention to detail. You will be communicating accounts receivable issues proactively to management to ensure compliance and accuracy. You will also be required to perform various administrative and clerical duties as needed to support revenue cycle functions.
This position is an incredible opportunity to make a difference in the lives of others! If you are passionate about creating positive change within your community by serving those in need, then we encourage you to apply and join our team.
At Maryland Wellness, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we have developed a strong organization that is capable of providing remarkable care to our clients, families, and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
Requirements
Essential Duties & Responsibilities
- Completes posting of all payments and adjustments at the patient account level in a timely and accurate manner.
- Contacts patients, insurance or third-party administrators when clarification of information is needed to successfully post payment.
- Conducts research and communicates with insurances for payment resolutions and recovery.
- Ensures that all EOBs and ERAs are properly routed and are available upon request.
- Ensures that all accounts are accurately updated prior to generating statements for patients.
- Researches and resolves insurance overpayments and credits.
- Manages and processes payment arrangements, credit card payments, and patient/insurance refund requests.
- Tracks and deposits paper checks.
- Maintains up-to-date knowledge with current payor guidelines/contracts, reimbursement policies, and fee schedules.
- Reviews all remittance advices for accuracy to identify errors or discrepancies in payments. Manages time to complete work in a timely manner and be a team player.
- Meets productivity requirements as established by management.
- Provides professional assistance for patient billing calls and ad hoc internal billing inquiries.
- Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
- Analyzes payment trends to ensure that accurate fee schedules were used by payors based on contract and/or year.
- Mails out monthly statements to patients as scheduled.
- Collaborates with team members to mail out all paper claims as needed.
Required Skills & Abilities :
- Understands the nuances of different insurance types.
- Ability to analyze and interpret explanations of benefits from all payors.
- Proven track record for improving process efficiencies and solving problems.
- Detail-oriented and organized.
- Excellent written and verbal communication skills.
- Strong problem solving and analytical skills that demonstrate resourcefulness and initiatives.
- Ability to multitask effectively.
- Ability to strategically, logically, and realistically analyze, evaluate and develop solutions the agency's business needs.
- Ability to effectively build relationships with individuals of all ages, ethnicity, education, and work experience.
- Understands and maintains confidentiality and all regulations regarding HIPAA and 42 CFR Part 2.
- Exhibits professionalism and a friendly demeanor, and is a positive representative of the company over the phone and in person.
- Comfort with computers and technology, especially Excel.
- Reliable, ethical, and honest work ethic.
Required Experience & Education
- Minimum of a High School Diploma or equivalent is required
- Minimum of 2 years experience in medical billing is required
- Minimum of 2 years experience in insurance payment posting required
- Working knowledge of medical coding such as CPT and ICD-10 is required
- Experience in the mental or behavioral health field preferred
- Knowledge of math and accounting preferred
- Basic knowledge of Excel is required
- Experience with payer portals strongly preferred
Employee Benefits
At Maryland Wellness, our employees work hard to help improve the lives and well-being of people every single day. That is why we are committed to providing competitive opportunities and comprehensive benefits that support a healthy life for you and your family when you join our team. Some of these include:
- Competitive compensation rates
- Access to an Employee Assistance Program (EAP)
- Paid Time Off (PTO)*
- A comprehensive medical plan that provides options for dental, vision, and health coverage*
- Employer provided life insurance coverage*
- 401(K) and 401(K) matching*
*For our fee-for-service contractor (1099) roles: we remain committed to your health and wellness, and we work diligently to ensure that you are connected with the right tools and resources to find the best plans or packages for your individual needs.