• Analyze EOB’s, balancing insurance and patient payments; and perform adjustments and credits as needed all within a clearly defined month-end close goal.
• Demonstrate knowledge and understanding of Explanation of Benefits (EOB’s) or Electronic Remittance Advice (ERA).
• Read and understand all aspects of an EOB/ERA - One should be able to define and verbalize how the following terms pertain to the payment process: billed amount; allowed amount; deductibles; coinsurances; co-payments.
• Ability to read and understand different EOB’s/ERA’s Meet interdepartmental posting goals.
• Post all line item payments and document all retractions / off sets, Posting Denials, and Rejections using ANSI Codes or other system transaction codes.
• Works directly with AR Management in month-end closing and reconciliation – along with YE Audits.
• Troubleshoots payment posting and balance issue with banking and EMR.
• Meet monthly closing deadlines Demonstrate the ability to post in all systems.
• Post all line item payments and document all retractions / off sets, Posting Denials, and Rejections using ANSI Codes or other system transaction codes.
• Ability to reconcile patient residual balances from insurance balances – and to ensure the appropriate financial class is located on the account.
• Apply standard improvement processes and follow-up through (PDCA) Plan, Do, Check and Act.
• Perform other related duties incidental to the work described herein.
• Maintain strictest confidentiality; adheres to all HIPAA guidelines and regulations.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks.
• Participates in professional societies.
• Follows all state regulations for development regarding professional license
• Excellent computer skills and record keeping skills.
• Ability to work as part of a multidisciplinary team.
• Ability to communicate accurately and concisely, written and oral.
• Excellent interpersonal and telephone skills.
• Other Duties as assigned

Education & Experience Required:

• Associates Degree preferred. Experience in specific job function maybe substituted for education
• Three + years of experience in medical payment posting in a healthcare setting REQUIRED
• Posting experience at a hospital, mental or substance abuse facility PREFERRED
• Lean Six Sigma, Kaizen or other Lean Process Management experience is a preferred asset
• CPC, CPAT, or CPAM preferred but not required

We offer great benefits including 401(k), paid time off plan, medical, dental, vision, and much more.

BENEFITS:

• Pay: Competitive salary
• Paid Time Off: Up to 3 weeks of paid time off per year
• Retirement: 401K + match
• Insurance: Health, Vision, Dental, Life Insurance. PLUS Teladoc access and visits at NO cost to the employee.
• Matching HSA -up to $1500 a year contribution from the company to your HSA.

Advanced Recovery Systems, a national integrated behavior healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We invite you to learn more about us at our website!

The Company complies with state and federal nondiscrimination laws and policies that prohibit discrimination based on age, color, disability, national origin, race, religion, or sex. It is unlawful to retaliate against individuals or groups based on the basis of their participation in a complaint of discrimination or on the basis of their opposition to discriminatory practices/EEO

We are proud to be a drug-free workplace.