Alliance Health System ยท 1 day ago
RCM - Payment Posting Specialist
Matawan, NJ
Full-time
Remote
Entry, Mid Level
2+ years exp
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Responsibilities
Post and analyze insurance and patient payments to proper line items while validating correct payments are issued using appropriate fee schedules for reference.
Have a strong understanding of Out-Of-Network benefits and how the reimbursements relate to CMS, UCR, Reasonable & Customary, NJ PIP and Fair Health fee schedules.
Have a keen eye and ability to see trends in denials and payments to help close the gap with documentation and collections.
Retrieve insurance Remittance Advice notices and Explanation of Benefits for proper handling.
Be well spoken and articulate as this position requires a high volume of communication with insurances, legal offices, providers and patients as well as other staff.
Be professional, enthusiastic, conscientious, and possess strong communication, organization, and problem-solving skills.
Enjoy collaborating with patients, physicians, and other team members.
Look forward to growing professionally with advancement opportunities.
Be viewed by others as dependable, punctual and honest.
Qualification
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Required
2 years medical payment posting experience in electronic and paper remittances for all payer types
Proficiency with electronic health records and other programs used in medical billing (ex. Navinet, Availity, and Payer Portals)
Strong understanding of insurance benefits (deductibles, co-insurances, copays, and out of pocket expenses)
Knowledge of CPT, ICD-10 codes, modifiers, and HIPAA
Preferred
CareCloud experience
Benefits
Paid time off
Health insurance
Supplemental insurance - AFLAC
Paid holidays
401(k) matching
Dental insurance
Disability insurance
Life insurance
Vision insurance
Company
Alliance Health System
Alliance Health System is a Comprehensive Management and Consulting company focused on the Medical Industry.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Rayna Wolfman
Chief Operating Officer
Company data provided by crunchbase
