Job description
Payment Posting Oversight:
- Supervise and lead a team responsible for accurately posting payments from insurance companies, government payers, and patients.
- Ensure adherence to established posting guidelines and regulatory requirements.
Reconciliation and Accuracy:
- Oversee the reconciliation of payments to corresponding claims and billing records.
- Implement processes to identify and address discrepancies in payment posting.
Denial Resolution:
- Collaborate with the denial management team to resolve payment-related denials promptly.
- Analyse denial trends and work towards preventing future payment issues.
Team Leadership:
- Provide guidance, training, and mentorship to payment posting team members.
- Foster a collaborative and results-driven team environment.
Quality Assurance:
- Implement and maintain quality assurance processes to ensure the accuracy and integrity of payment posting.
- Conduct regular audits and provide feedback for continuous improvement.
Process Optimization:
- Identify opportunities to streamline payment posting workflows and enhance overall efficiency.
- Collaborate with cross-functional teams to implement process improvements.
Reporting and Analysis:
- Generate and analyze reports related to payment posting performance.
- Provide regular updates to management on key performance indicators and areas for improvement.
Compliance:
- Stay informed about changes in payment regulations and compliance requirements.
- Ensure that payment posting processes align with industry standards and regulations.
Qualifications:
- Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field.
- Extensive experience in payment posting within the healthcare domain.
- In-depth knowledge of healthcare payment systems, including EOBs, remittance advice, and electronic funds transfer.
- Strong leadership and team management skills.
- Detail-oriented with a focus on accuracy in payment reconciliation.
- Excellent communication and interpersonal skills.
- Proficient in using payment posting software and electronic health record (EHR) systems.