PAYMENT POSTER & CHARGE ENTRY REPRESENTATIVE - HOAG CLINIC ADMINISTRATION:
Hoag Memorial Hospital Presbyterian

58008-en_US
Hoag Memorial Hospital Presbyterian
Costa Mesa California
Healthcare
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Description

The Payment Poster & Charge Entry Specialist provides support to the Billers and Coders of the department as well as other internal customers. Daily tasks include data entry, processing payments, posting payments, balancing between the financial software and billing software. This position will also perform various projects and tasks as requested to support the billing department. 

The Billing Support Specialist maintains confidentiality and is knowledgeable about basic medical billing terminology and HIPPA.

 

Essential Functions:

 

  • Responsible for posting cash and insurance payments; and adjustments accurately per department standards.
  • Responsible for identifying and reporting denial issues and trends that may result in underpayment variances.
  • Reconcile between various systems to ensure accuracy and consistency of all data
  • Assist with entering demographic and/or encounter data to support the billing team
  • Validate and reconcile transitioned encounter data between systems
  • Complete all assigned tasks in an efficient and accurate manner; attention to detail
  • Work well with others, be a team player; support the entire billing department and other departments as requested
  • Responsible for accurately entering encounter forms into practice management systems, per department standards
  • Follow charge entry guidelines per Coding and payer guidelines
  • Responsible to communicate any discrepancies to immediate supervisor
  • Meet and/or exceed daily production and quality goals
  • Responsible for balancing, closing and recording all batches
  • Maintains ongoing knowledge of third party billing requirements. Understands billing timelines and urgency in meeting all claims and filing deadlines
  • Updates account information with necessary corrections and rebills claims when applicable
  • Work independently to complete recurring tasks with minimal supervision
  • Excellent communication skills, written and verbal
  • Perform other duties as assigned

 

Education, Training and Experience

Required:

Specialist I:

  • 1 plus years’ in the medical field, High School diploma or higher, Computer knowledge Knowledge of EHR, Excel, Office, Word, knowledge of ICD-10 codes, CPT codes, HCPCs and HIPPA

 

Specialist II:

  • 2 plus years’ in the medical field of billing and coding, High School diploma or higher, Computer knowledge, Knowledge of EHR, Excel, Office, Word, knowledge of ICD-10 codes, CPT codes, HCPCs and HIPPA

 

Specialist III:

  • 3 plus years’ in the medical field of billing and coding High School diploma or higher, Computer knowledge, Knowledge of EHR, Excel, Office, Word, knowledge of ICD-10 codes, CPT codes, HCPCs and HIPPA

 

Preferred: Certified coder is preferred

 

 

Skills or Other Qualifications

Required:

Specialist I:

  • Ability to maintain confidentiality
  • Ability to: Read/Interpret documents, Write reports/correspondence, speak clearly/concisely Language: English, Listen Effectively, and Interface with the Public
  • Ability to: Problem Solve, use Analytical and Reasoning, be Proactive, Flexibility/Adaptive to change, Ability to Multi-task, Work under Stressful Conditions, Independent Judgment, Mathematical, Business Acumen/Demeanor, Customer Service, Teamwork/Team Player, Organization Skills

 

Specialist II:

  • In addition to the above level I abilities, the level II is expected to participate in training and development. Level II has a developed ability to problem solve and collect.

 

Specialist III:

  • In addition to the above I, and II abilities, the level III is expected to share knowledge and participate in training and development. Level III has skill in process knowledge and computer skills, knowledge of HER, Excel, Office, Word, Specialized knowledge of ICD-10 codes, CPT codes, HIPPA guidelines and HCPC’s

Preferred: 1-2 years of experience with oncology.

License and Certifications

Preferred: Certified coder is preferred

Basic Qualifications
Requirement