RCM Payment Processor

Ensure all insurance and patient payments are posted quickly and accurately.

Responsibilities include, but are not limited to, the following:

Daily Duties

• Posts all insurance and patient payments by line item; batches them according to protocol
• Alerts Manager when payments do not match contractual amounts; looks for underpayments and silent PPOs
• Processes requests for refunds, and submits to Manager for approval
• Ensures lock box totals balance with what is posted into the computer system
• Maintains working knowledge of charge entry, and insurance follow up protocols; provides back-up Reimbursement Specialist as needed

Other

• Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice.
• Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
• Attends OSHA, HIPAA, and OIG training programs as required.
• Attends all meetings as requested including regular staff meetings.
• Attends Medicare and other continuing education courses as requested. Pursue and participate in education to remain current with changes in the Healthcare industry.
• Performs any additional duties as requested by the CFO and/or Director of Central Billing Services.
• Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes.
• Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or via the AP EthicsPoint hotline.

Supervisory Responsibilities:This job has no supervisory responsibilities

Typical Physical Demands: Physical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and vision must be correctable to normal range to record, prepare, and communicate appropriate reports.

Typical Working Conditions: Normal office environment. Occasional evening or weekend work.