Job Description

Job Details
Experienced
Adelante Healthcare Center Support Office - Phoenix, AZ
Full Time
HS Diploma from accredited school
Health Care
Description

POSITION SUMMARY

The Payment Poster will be responsible for accurately posting medical insurance payments to patient accounts in an accurate and timely manner. Coordinates activities with stakeholders.

 

EXPECTATIONS

Every Adelante employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism and competence.

 

OUR CORE VALUES

  • Excellence
  • Integrity
  • Sustainability
  • Respect
  • Compassion

 

ESSENTIAL SKILLS AND EXPERIENCE

  • Excellent working knowledge of insurance carriers payment regulations including various reimbursement schemes, coinsurance and deductibles, contractual adjustments, In Network and Out of Network providers
  • Knowledge of Medicare, managed care, Medicaid and commercial insurances
  • 2 years relative payment posting experience in large practice
  • CPT4 and ICD10 coding knowledge
  • Ability to read and understand explanation of benefits and ANSI/remark codes
  • High attention to detail and the ability to multi-task
  • Experience with medical and billing software, NextGen preferred and clearinghouses
  • Experience with Microsoft Excel and Word
  • Excellent organizational skills and interpersonal skills
  • Ability to follow directions and meets deadlines
  • Excellent time management skills
  • 45wmp and 10,000 KSPH

 

NONESSENTIAL SKILLS AND EXPERIENCE

  • The ability to communicate in more than one language

 

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.

 

POSITION REPONSIBILITIES/ESSENTIAL

  • Download and remittance advices from clearing house and payer websites
  • Manually and electronically posts Explanation of Benefits into practice management system
  • Applies payments, adjustments, and denials into practice management system from explanation of benefits
  • Ensures payment batches are balanced to deposits
  • Identifies and corrects balancing issues between remittance advice and batch as well as the deposit
  • Reconciles remits to deposits received and posts to practice management once deposit is confirmed
  • Ensures all payments, adjustments, and denial transactions are posted timely and accurately
  • May assist in securing missing remittance advices
  • Applies credits to patient encounters within practice management system

 

Additional Duties and Responsibilities

  • Other duties as request or assigned

PCMH

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team based model to promote wellness and improve health outcomes.

 

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcares written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelantes legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

 

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The employee must frequently lift and/or move up to 25 pounds without assistance, and may occasionally be required to lift or move up to 50 pounds with assistance. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

 

Work environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites. The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.

 

In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities. Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.

 

My signature below signifies my receipt of this job description and does not in any way create a contract for employment or alter my employment at-will status.

Qualifications

ESSENTIAL SKILLS AND EXPERIENCE

  • Associates degree preferred
  • High school diploma or GED from an accredited institution required
  • Excellent working knowledge of insurance carriers’ payment regulations including various reimbursement schemes, coinsurance and deductibles, contractual adjustments, In Network and Out of Network providers
  • Knowledge of Medicare, managed care, Medicaid and commercial insurances
  • 2 years relative payment posting experience in large practice
  • CPT4 and ICD10 coding knowledge
  • Ability to read and understand explanation of benefits and ANSI/remark codes
  • High attention to detail and the ability to multi-task
  • Experience with medical and billing software, NextGen preferred and clearinghouses
  • Experience with Microsoft  Excel and Word
  • Excellent organizational skills and interpersonal skills
  • Ability to follow directions and meets deadlines
  • Excellent time management skills
  • 45wmp and 10,000 KSPH

 

NONESSENTIAL SKILLS AND EXPERIENCE

  • The ability to communicate in more than one language

 

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.

 

POSITION REPONSIBILITIES/ESSENTIAL

  • Download and remittance advices from clearing house and payer websites
  • Manually and electronically posts Explanation of Benefits into practice management system
  • Applies payments, adjustments, and denials into practice management system from explanation of benefits
  • Ensures payment batches are balanced to deposits
  • Identifies and corrects balancing issues between remittance advice and batch as well as the deposit
  • Reconciles remits to deposits received and posts to practice management once deposit is confirmed
  • Ensures all payments, adjustments, and denial transactions are posted timely and accurately
  • May assist in securing missing remittance advices
  • Applies credits to patient encounters within practice management system

 

Additional Duties and Responsibilities

  • Other duties as request or assigned
     

PCMH

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team based model to promote wellness and improve health outcomes.

 

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

 

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions.  The employee must frequently lift and/or move up to 25 pounds without assistance, and may occasionally be required to lift or move up to 50 pounds with assistance.  Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

 

Work environment:   While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites.  The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.

 

In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities.  Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises.  In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online