About

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Role Description

The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services.

• Work closely with TruBridge management and hospital employees in receiving, preparing and posting of receipts for hospital services.
• Ensure accuracy in the posting of the receipt, contractual allowance and other remittance amounts.
• Receive daily receipts that have been balanced and stamped for deposit and verify receipt total.
• Research receipts that are not clearly marked for posting.
• Post payments to the appropriate account and make notes required for follow-up.
• Post zero payments to the appropriate account and make notes required for follow-up.
• Maintain log of daily receipts and contractual posted.
• Process rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
• Consistently meet production and quality assurance standards.
• Maintain quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
• Update job knowledge by participating in company offered education opportunities.
• Protect customer information by keeping all information confidential.
• Process miscellaneous paperwork.
• Work with high profile customers with difficult processes.
• Assist with team projects as needed.

Qualifications

• 3 years hospital payment posting experience, including time outside TruBridge.
• Display a detailed understanding of CAS codes.
• Post denials to patient accounts with the correct denial reason code.
• Post patient payments, electronic insurance payments, and manual insurance payments.
• Balance all payments and contractual daily.
• Ensure postings balance to the site's bank deposit.
• Adhere to site specific productivity requirements outlined by management.
• Serve as a resource for other receipting service specialists.
• Must be agile and able to easily shift between tasks.
• May require overtime as needed to ensure the day/month are fully balanced and closed.
• Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied.

Requirements

• Must be familiar with payment posting.
• Experience in hospital billing.
• Experience in CPT and ICD-10 coding.
• Familiarity with medical terminology.
• Ability to communicate with various insurance payers.
• Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
• Responsible use of confidential information.
• Strong written and verbal skills.
• Ability to multi-task.

Benefits

• Work remotely with a work/life balance approach.
• Robust benefits offering, including 401(k).
• Generous time off allotments.
• 10 paid holidays annually.
• Employer-paid short term disability and life insurance.
• Paid Parental Leave.