Education and Experience-

Education:

• High School diploma, or equivalent.

Experience:

• 1+ years’ experience in medical payment posting required.
• Working knowledge of ICD-10 and CPT codes.
• Professional attitude, demeanor, and work ethic.
• Candidates must be able to work with a high volume of work while maintaining attention to detail and accuracy and demonstrate excellent oral and written communication skills.

Duties and Responsibilities-

Essential Duties:

• Posts insurance payments, electronic funds transfers, patient payments, contractual discounts, and miscellaneous receipts accurately to the correct patient accounts. Posts all denials received with appropriate reason codes.
• Obtains payment details for payments received if none was provided with payment.
• Prints all zero-pay EOBs from vendor sites daily to ensure all zero payments have been accurately posted.
• Review batch reports after posting payments to ensure the Cerner System is posting correctly and ensures all batch corrections are completed daily.
• Meet monthly post goals and closing deadlines.
• Review EOBs for correct payment. Notifies Supervisor of denied charges, rejected claims, or other issues that affect expected reimbursement per contracts.
• Review all credit balances to determine if a refund is due.
• Responsible for advising insurance companies about overpayments. Completes refunds for patients and insurance companies promptly.
• Maintains appropriate supporting documentation for all refunds. Verifies refund checks for correctness and mails the checks.
• Maintains competent accuracy level.
• Prioritizes assigned tasks and conducts the appropriate follow-through.
• Responds effectively and timely to questions regarding refund/adjusted accounts and provide accurate explanation of status.
• Maintains scanned documents logically according to department SOP.
• Maintain timely resolution of payments posted to the general ledger account.
• Completes special assignments and projects with minimal supervision and consistently meets the department’s performance, production, and quality standards.
• Other duties as assigned.

Coquille Valley Hospital provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Coquille Valley Hospital complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Coquille Valley Hospital expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Coquille Valley Hospital’s employees to perform their job duties may result in discipline up to and including discharge.