About this role
Summary/Objective
Under limited supervision the Payment Processor/Poster will be responsible for accurately and efficiently processing payments, credits, and refunds, ensuring adherence to established policies and procedures.
Essential Job Functions
Review and reconcile electronic remittance advice (ERA) files, paper checks, credit card transactions, and other forms of payment received.
Accurately post payments to patient accounts using the appropriate billing software or database.
Identify and resolve any discrepancies or issues with posted payments, ensuring accuracy and adherence to regulatory requirements.
Work closely with insurance companies, patients, or third-party payers to resolve payment-related inquiries or disputes.
Process credit balance requests by identifying overpayments and initiating refunds according to company policies and procedures.
Maintain accurate and updated records of all payment transactions, credits, and refunds, including the completion of necessary documentation.
Stay up to date with industry trends, regulations, and changes in reimbursement practices to ensure payments, credits, or refunds.
Provide excellent customer service by promptly responding to any inquiries or requests related to payments, credits, or refunds.
Regularly participates in virtual meetings, training, coaching, audits, and other work-related interactions using Company-approved collaboration technology, including audio and video, as required by Company or client.
Performs duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
Key Success Indicators/Attributes
Excellent attention to detail and accuracy in data entry and record keeping.
Ability to prioritize and multi-task in a fast-paced, changing environment.
Demonstrate ability to work in all work types and specialties.
Demonstrate ability to self-motivate, set goals, and meet deadlines.
Demonstrate problem-solving skills and the ability to think critically to identify and implement appropriate solutions.
Demonstrate excellent verbal communication skills, with the ability to interact professionally with insurance companies, patients, and colleagues.
Strong active listening skills to understand patient concerns and provide appropriate resolutions.
Maintain courteous and professional working relationships with employees at all levels of the organization.
Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.
Skill in operating a personal computer and utilizing a variety of software applications is essential.
Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation is an added advantage.
Supervisory Responsibility
No
Work Environment
This job operates in an office environment. This role routinely uses standard office equipment such as computers and phones.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
Stationary Position: Must be able to remain at a desk for prolonged periods for most of the workday.
Operating Equipment: Constantly operates a computer, keyboard, mouse, and telephone/headset, including frequent repetitive hand/wrist motions for typing and prolonged periods of screen viewing and virtual communication.
Visual Requirements: Requires close visual acuity to view computer screens, read documents, and analyze data.
Cognitive Focus: Sustained concentration for problem-solving and task management, including ability to maintain concentrated attention to detail to ensure coding accuracy and compliance
Communication: Frequently communicates with coworkers and clients via speech and hearing.
Movement: Occasionally stands, walks, or reaches to access office equipment, files, or supplies. Light lifting of up to 10 pounds may occasionally be required.
Position Type
This position can be full-time or part-time as determined by the job requisition for the specific client assignment to which the employee is assigned.
Expected Hours of Work
Days and hours of work will depend on the specific client assignment to which the employee is assigned. This position may require long hours and weekend work to support Company or client needs.
Travel
Minimal travel required; up to 5%
Required Education and Experience
Minimum of 1-2 years prior experience/knowledge of payment posting procedures, insurance claim processing, and billing practices. Familiarity with various payment methods, including electronic remittance advice (ERA), checks, credit cards, and online payment systems.
Proficient in using billing software and Microsoft Office Suite.
High School diploma or equivalent, additional education in healthcare administration or related field is a plus.
Proven experience in a customer service or call center role, preferably within the healthcare industry.
Preferred Education and Experience
N/A
Additional Eligibility Qualifications
N/A
Security Access Requirements
In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega set forth in the “Standard Field Employee” profile.
Microsoft Office
ADP
Oracle
E1- Field Employee
Standard Employee
Standard
Equal Employment Opportunity:
Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.
Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [email protected].
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.