Posting Resolution Specialist jobs in United States
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Women's Health Connecticut · 23 hours ago

Posting Resolution Specialist

Women’s Health Connecticut is seeking to hire a Full-time Posting Resolution Specialist at their corporate business office in Rocky Hill, CT. The role involves processing, researching, and resolving tasks associated with payments, adjustments, and refunds posted by third parties and customers.

Hospital & Health Care
Hiring Manager
Alexis Jackson
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Responsibilities

Daily work within practice management systems to reconcile payments and adjustments
Research and resolve unpostable items
Manage multiple priorities, monitoring multiple dashboards to identify outstanding tasks
Perform month end close activities within the practice management system
Post payments in practice management system when needed
Retrieve remittance advice from payers and upload to practice management system as needed
Submit and manage cases/requests for corrections within practice management system
Manage refund submissions to Finance
Investigate, resolve and process returned refund checks in preparation for annual escheatment filing
Provide trending analysis of data and recommend process changes or education to prevent ongoing issues
Review patient account to ensure claim processed correctly and that refund is appropriate
Follow customer specific protocols to apply patient credits timely and refunding when applicable
Contact insurance carrier to research payments and/or determine correct method of refund
Utilize insurance websites to research claim statuses
Run reports and communicate with management across all systems
Evaluate all identified unallocated payments to guarantee proper settlement and or refund
Respond to customer inquiries timely
Provide training to customers where needed on posting related tasks
Trend and communicate all issues to management
Develop and maintain strong understanding of department process and procedures
Participate in proactive team efforts to achieve departmental and company goals
Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy and all HIPAA (Health Insurance Portability and Accountability Act) mandates
Other duties as assigned by management

Qualification

Medical insurance collectionsPayment postingReconciliationMicrosoft Office SuiteCPTICD codingCustomer serviceMathematical abilityPrioritizationWritten communicationVerbal communication

Required

High School Diploma or GED
Prior experience with medical insurance collections, reconciliation, payment posting and processing refunds
Computer skills evidenced by proficiency and /or training with applicable software
Strong Working knowledge of Microsoft Office Suite
Ability to set priorities and meet established deadlines
Excellent written and verbal communication skills
Excellent customer service skills
Good mathematical ability
Ability to remain seated for up to 8 hours per day
Ability to work in fast paced environment

Preferred

Knowledge of CPT and ICD coding is helpful, but not necessary

Company

Women's Health Connecticut

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We are devoted to providing resources and access to the best in healthcare for women.

Funding

Current Stage
Growth Stage

Leadership Team

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Paula Greenberg, MBA, BSN
President and Chief Executive Officer
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