Job description

University Orthopaedic Associates, a Division of OrthoNJ, is a leading orthopedic practice which provides a full spectrum of orthopedic care. Our board certified surgeons, each subspecialty trained, offer the best care in sports medicine, arthroscopic surgery, joint replacement, traumatology, hand and upper extremity surgery, foot and ankle surgery and surgery of the spine.

We have a full-time opportunity for you to join our Somerset Insurance Team as a Payment Poster and Ins. Special Projects Coordinator in our Somerset Office.

Our Insurance Department is in search of a Payment Poster to oversee payment intake and post payment reconciliation processes. In this role, you will manually and electronically process and post a high volume of billing statements while updating account adjustments and keeping records of account standings. Our ideal candidate has at least one year (1) of experience working in accounts receivables, with remittance processing, or in a similar orthopaedic medical billing/ customer service role.

Responsibilities include:

· Accept payments and process billing statements

· Keep track of payment deposits from patients and insurance reconciling details

· Prepare payment batches

· Conduct audits for billing cycles

· Assess explanation of benefits (EOBs) from insurance companies and distribute to corresponding insurance representative

· Keep accurate billing records and report any discrepancies to accounting

· Post incoming CR of checks/ credit cards/ EFTs and adjustments on a daily basis

· Compute total bill showing amounts to be paid by insurance company and total due by patient

· Prove daily payments and reconcile batch at the end of the day

· Return checks for duplicate payment by insurance and patient

· Understanding Allscripts (EMR) payment posting processes, voids, and account views

· Review account for accuracy

· Identify accounts with errors other outstanding dates of service discrepancies, and second insurance issues

· Further issues requiring more attention will be brought to the corresponding representative for resolution at the time of account review

· Reconciling accounts out of balance, moving patient credits as needed, analyzing when insurance credits or over adjustments are on the accounts

· Moving over the Payerpath remittances daily to ensure ease of posting for primary payment poster and insurance reps

· Scanning insurance EOBs daily

· Scanning misc. insurance scans daily

· Assisting with No Fault precertification submissions

· Comply with all Federal and State laws governing HIPAA and collections

· Schedule appointments as needed when overflow from scheduling department requires insurance assistance (training will be provided on scheduling)

· Coverage at the switchboard when needed (training will be provided on the switchboard)

· Tally insurance checks on heavy days (Mondays)

· Assist with community of care requests when needed

· Follow-up on self-pay accounts, prepare accounts for collections when needed

· Assist with misc. projects as assigned by management

· Perform other job related responsibilities as requested

Requirements and qualifications:

· High school diploma or GED certificate

· Associate or bachelor's degree (preferred)

· At least 1 year of experience in a related billing or clerical position

· Ability to process a high volume of work

· Knowledge of EOBs

· Data entry, typing skills, and MS Office knowledge

· Attention to detail

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• Monday to Friday

Work Location: One location

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